The nurse is developing a handout for clients in a healthcare ...

[j.rubin]

The nurse is developing a handout for clients in a healthcare provider's office. The nurse includes which focus area in this handout to emphasize current changes in the health care delivery system?
 
  1. Class recommendations for diabetics concerning insulin administration A2.Guidelines from the Centers for Disease Control outlining plans to manage outbreaks of disease, eradicating the use of toxins.
  2. Guidelines from the Centers for Disease Control outlining plans to manage outbreaks of disease, eradicating the use of toxins.
  3. Resources available to treat chronic pain.
  4. Class listings for exercise classes available in the community.

Question 2

Which information would the nurse include in the assessment category when using SOAP to documents in the medical record?
 
  1. The client's blood pressure was 177/93.
  2. The recent loss of employment and insurance has prevented the client from being able to afford prescription medications.
  3. The client reports having lost her job and insurance 3 months ago.
  4. Referrals have been made to social services to determine financial assistance programs available.

[choc0chan]

Answer to Question 1

Correct Answer: 4
The focus of health care in the United States today is wellness, prevention of disease, health promotion, and health maintenance, for which a listing of exercise classes is appropriate. Symptom management, illness care, and pain management are addressed by the health care delivery system but are not the primary focus, as clients are taking a more active role in managing their own care. Management of outbreaks of disease is a function of governmental organizations and health care providers in the community, but is not a focus of individual care.

Answer to Question 2

Correct Answer: 2
The A component of the SOAP note refers to conclusions drawn from the subjective and objective data obtained. The client's recent loss of employment and the potential that this was a contributing factor in the inability to afford medications is an example of a conclusion. The client's reported blood pressure would be an example of objective data. Objective data is information that can be measured by the examiner. Blood pressure is not an example of subjective information nor is it a conclusion. The client's reported loss of employment and insurance is an example of subjective data. The statement does not include conclusions as to the results of these events. Making referrals to social services is an example of an intervention. It is not a conclusion.