A nurse is caring for a client who is chemically impaired. Which of the following is a key topic in the cascade of care framework for opioid use disorder (OUD)
Engagement in care
Recovery
Readmission
Medication initiation
The Correct Answer is A
A. This is a crucial step in the cascade of care, as it involves connecting individuals with OUD to treatment services. Without engagement, subsequent steps like medication initiation and recovery cannot be achieved.
B. While recovery is the ultimate goal of OUD treatment, it is a later stage in the cascade. It follows successful engagement, medication initiation, and retention in care.
C. This is not a primary focus of the cascade of care framework, although it can be a relevant outcome measure to assess the effectiveness of treatment.
D. While important, medication initiation is a step that occurs after engagement in care. It is not the foundational element of the cascade.
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Related Questions
Correct Answer is B
Explanation
A. Advocacy involves supporting and defending a patient's interests. While evaluating pain medication is important, it doesn't directly demonstrate advocacy.
B. By checking the effectiveness of pain medication, the nurse is fulfilling their responsibility to provide optimal care and manage patient pain.
C. Confidence is important for nurses, but it's not directly demonstrated in this specific action.
D. Fairness is a broader concept related to treating all patients equitably. Evaluating pain medication is a standard of care for all patients experiencing pain, regardless of their background or circumstances.
Correct Answer is B
Explanation
A. A positive-pressure airflow room is designed to keep potentially contaminated air from entering the room, making it suitable for immunocompromised patients who need protection from airborne pathogens. However, for a client with symptoms suggestive of tuberculosis (TB), such as a productive cough and a positive Mantoux test, a positive-pressure room is not appropriate.
B. A negative-pressure airflow room is specifically designed to contain airborne pathogens within the room and prevent their spread to other areas. This is the appropriate type of room for a client with symptoms indicative of TB, as it helps to ensure that any infectious particles are not dispersed into the general environment.
C. A semi-private, positive-pressure airflow room is not suitable for a patient with a suspected infectious disease like TB. The positive pressure could potentially allow airborne pathogens to escape from the room, which poses a risk to others. This type of room is generally used for patients who need protection from external pathogens rather than those who may be spreading infection.
D. While a negative-pressure room is appropriate for controlling airborne pathogens, a semi-private room may not be suitable for a patient with a suspected infectious disease like TB. TB patients should ideally be placed in a private room to avoid potential exposure to other patients, as semi-private rooms could still allow for transmission of airborne diseases between patients.
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