Nokea
A client arrives at the physician's clinic in order to receive care for a cough and fever. What type of healthcare institute classification is this client attending?
- A. Short stay
- B. Acute care
- C. Long-term care
- D. In-and-out care
Correct Answer: D
Rationale: In in-and-out care, contact with the client is measured in minutes versus hours. Typical examples are office visits, emergency department visits, and therapy sessions with in-and-out care. Short stays provides care to clients who suffer from acute conditions or need treatments that require fewer than 24 hours of care and monitoring. Long-term care provides care to residents for the remainder of their lives. Acute care traditionally occurs in hospitals where clients stay more than 24 hours.
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A student nurse asks the nursing instructor, 'What will my role as a nurse encompass after I graduate?' What is the best response by the nursing instructor?
- A. You will take care of clients who are ill in a hospital or long-term care facility.'
- B. You will care for individuals and families and play a role in health education, illness prevention, and promotion.'
- C. You will care for a variety of clients of all ages when they are ill.'
- D. It will all depend on where you want to work when you graduate. Nurses do different things in healthcare.'
Correct Answer: B
Rationale: Nursing is concerned with caring for individuals, families, or groups. Nurses not only care for clients when they are ill but also play a significant role in health education, illness prevention, and promotion. Nurses attend to client needs related to: hygiene; activity; diet; the environment; medical treatment; and physical, emotional, and spiritual comfort. Therefore, nurses care for clients in a variety of settings, not just hospitals or long-term care facilities. Though nurses may choose to specialize in a certain area of healthcare, all these areas involve health education and promotion and illness prevention.
Which type of care is used for clients with terminal illness who have a life expectancy of less than 6 months?
- A. Hospice care
- B. Ambulatory care
- C. Skilled nursing care
- D. Intermediate care
Correct Answer: A
Rationale: Hospices provide care for clients with terminal illness whose life expectancy is less than 6 months. Ambulatory care is also called outpatient care. Skilled nursing care facilities provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness. Intermediate care facilities are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities.
A client who is receiving respiratory support with a tracheostomy and mechanical ventilation after a stroke is being discharged from the acute care facility. Family members state that they will not be able to care for the client at home to provide the care that is required. What type of care may this client be a candidate for after discharge?
- A. Long-term acute care
- B. Subacute care
- C. Intermediate care facility
- D. Rehabilitation care
Correct Answer: A
Rationale: Clients who require ventilator support or who have other conditions that are potentially unstable but do not have rapid changes may receive care in a long-term acute care facility. Subacute care refers to care that is more intense than traditional long-term care but less intense than acute inpatient care. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible.
A client who is mentally disabled is working at an adult activity center. The client is unable to live independently, and the family member they are living with can no longer assist with supervised care. What option for living arrangements would be ideal for this person?
- A. Congregate housing
- B. Boarding home
- C. Long-term acute care facility
- D. Acute care facility
Correct Answer: B
Rationale: Boarding homes usually are small homes with individual rooms where residents pay for room and board and minimal nursing services. Residents often share rooms, have a common dining area for all meals, and also oversee employment for disabled adults and provide a stable environment for those who cannot live independently. Congregate housing provides independent living for seniors or disabled adults who need minimal to no assistance. Long-term care facilities are for clients who require long-term wound care or ventilator support or who have other conditions that are potentially unstable but do not have rapid changes. Acute care facilities are for those clients who are of high illness acuity.
Freestanding apartments are an example of which type of alternative healthcare setting?
- A. Skilled nursing care
- B. Assisted living
- C. Congregate housing
- D. Boarding homes
Correct Answer: C
Rationale: Congregate housing provides independent living or minimal assistance for seniors or disabled adults. Skilled nursing care facilities provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness. Assisted living facilities provide care to residents who need assistance with up to three activities of daily living. Boarding homes are usually small homes with individual rooms where residents pay for room and board and minimal nursing services.