Author Question: The patient has been brought to the emergency department following a motor vehicle accident. The ... (Read 97 times)

tichca · **on:** Jul 22, 2018

The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. His driver's license states that he needs glasses to operate a motor vehicle, but no glasses were brought in with the patient.

The nurse should a. Assume that the glasses were lost during the accident.
b. Stand to the side of the patient's eye and observe the cornea.
c. Assume that the patient was not wearing glasses while driving.
d. Assume that the ambulance personnel have them.

Question 2

Which of the following nursing models refers to an emerging model among intraprofessional nursing teams and other health care providers who are members of the interprofessional team?

a. Primary nursing model
b. Functional nursing model
c. Team nursing model
d. Collaborative practice model

yasmin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
An important aspect of an eye examination is to determine if the patient wears contact lenses, especially in patients who are unresponsive. To determine whether a contact lens is present, stand to the side of the patient's eye and observe the cornea for the presence of a soft or rigid lens. It is also important to observe the sclera to detect the presence of a lens that has shifted off the cornea. An undetected lens causes severe corneal injury when left in place too long. Never assume that glasses were lost or were not worn. Contacting ambulance personnel takes time. Examine the eyes.

Answer to Question 2

D

Feedback
A The primary nursing model was popular in the 1970s and 1980s and is not considered an emerging model.
B The functional nursing model was popular in World War II in response to a nursing shortage and is not considered an emerging model.
C The team nursing model was developed in response to a nursing shortage following World War II and is not considered an emerging model.
D The Registered Nurses Association of Ontario (2006) has developed evidence-informed best practice guidelines for collaborative practice. There is a call for interprofessional team and collaborative practice models including team, primary, and case management.