Answer to Question 1
B
Feedback:
The nurse should tell the client that fullness and pressure might be felt in the stomach. This is because air is instilled into the stomach to expand it completely so that the entire interior surface can be visualized. General anesthesia is not used. Instead, conscious sedation is used. This allows introduction and manipulation of the endoscope, yet the client is relaxed and can respond. The client should be informed that the endoscopic tube will not hinder normal breathing. The procedure usually takes 15 minutes to 1 hour, not 2 to 3 hours.
Answer to Question 2
D
Feedback:
CHCs are different from other healthcare providers because clients are involved in service delivery, with local residents serving on governing boards; CHCs are located in high-need communities (e.g., elevated poverty, higher-than-average infant mortality, or where few physicians practice); they target medically underserved areas or populations and offer services such as transportation, case management, health education, and home visitation; the CHC must provide comprehensive primary care services and related support services; services are tailored to fit the special needs and priorities of the community, and care must be available to all residents of the area, regardless of insurance status.
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