Nokea
A 58-year-old patient is in an ICU step-down unit at an acute care hospital after having a cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities of daily living (ADLs). The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is a(n)
- A. acute care hospital.
- B. long-term acute care hospital (LTACH).
- C. skilled nursing facility (SNF).
- D. rehabilitation facility.
Correct Answer: D
Rationale: A rehabilitation facility is appropriate for a patient needing intensive therapy to regain function after a stroke.
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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.
In client-centered care, the nurse makes sure other members of the health-care team such as the phlebotomist, EKG technician, and respiratory therapist perform their tasks in a timely manner.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Client-centered care focuses on patient empowerment, not nurse coordination of other team members.
Match the health-care practitioner to the appropriate functions: Medical social worker
- A. Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel
- B. Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care such as home health
- C. Performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states
- D. Employed by physicians or hospitals to work closely with physician and assist in directing patient care
- E. Certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments
- F. Practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel
Correct Answer: B
Rationale: Medical social workers provide psychosocial support and arrange post-discharge care.
Give one reason why patients are cared for by a team of health-care professionals from different specialty areas.
- A. To provide comprehensive care addressing multiple health needs.
- B. To reduce the workload of individual providers.
- C. To increase hospital revenue.
- D. To simplify patient care processes.
Correct Answer: A
Rationale: A team of specialists ensures comprehensive care for complex health needs.
The National Hospice Organization's definition of hospice states that hospice
- A. Provides a continuum of home and inpatient care.
- B. Is coordinated by nurses.
- C. Cares for the patient and family.
- D. Does not include pain medication management.
Correct Answer: A,C
Rationale: Hospice provides comprehensive care for patients and families, including home and inpatient services.