A 48-year-old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recovering from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance. What care options are best for this man at this time?
- A. Inpatient drug and alcohol rehabilitation facility
- B. Ambulatory care clinic
- C. Outpatient mental health services
- D. Home health care
Correct Answer: A,C
Rationale: Inpatient rehab addresses his alcoholism, and outpatient mental health services support ongoing recovery.
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Health care provided by various companies and purchased by the individual or an employer is called
- A. Medicare.
- B. Medicaid.
- C. managed care.
- D. private insurance.
Correct Answer: D
Rationale: Private insurance is purchased by individuals or employers, unlike government programs.
Which of the following is a criterion for admission to a skilled nursing facility?
- A. The patient has made maximum progress and is considered stable.
- B. The patient has been hospitalized within the last 30 days.
- C. The patient requires intensive physical therapy.
- D. The patient will not be able to return to independent living and will be a resident.
Correct Answer: B
Rationale: A recent hospitalization (within 30 days) is a common criterion for SNF admission under Medicare.
Fill in the blank with the correct health-care practitioner: The personnel who help patients with disabilities to develop new skills, recover lost skills, or maintain functional skills so that they can perform activities of daily living (ADLs) are called
- A. Occupational therapists
- B. Physical therapists
- C. Speech therapists
- D. Social workers
Correct Answer: A
Rationale: Occupational therapists help patients with ADLs through skill development or maintenance.
Fill in the blank with the correct Key Term(s) or italicized words from your text: Empowering the patient to take control of and manage his or her care is called
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: B
Rationale: Client-centered care empowers patients to manage their own care.
A primary care physician acting as a gatekeeper to eliminate unnecessary testing and procedures is a feature of a
- A. Health maintenance organization (HMO)
- B. Preferred provider organization (PPO)
- C. Point of service (POS)
- D. Medicaid
Correct Answer: A
Rationale: HMOs use primary care physicians as gatekeepers to control costs.
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