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A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have?
- A. Provide early, thorough discharge planning.
- B. Make sure the client is administered medications.
- C. Provide care to the client who is terminally ill and has less than 6 months to live.
- D. Make home visits to see that the client is taken care of after discharge.
Correct Answer: A
Rationale: An important function of case managers is to provide early, thorough discharge planning. The case manager is not responsible for the administration of medications. Hospice care provides care to the client who is terminally ill. The case manager oversees the care of the clients while they are hospitalized. Referrals to community agencies and home healthcare will be made for home visits.
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The caregiver of a client with mental disabilities has recently passed away. The client is unable to perform self-care at home. What facility would best meet the needs of this client?
- A. Acute care facility
- B. Rehabilitation care
- C. Intermediate care facility
- D. Ambulatory care
Correct Answer: C
Rationale: Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Clients must meet specific criteria related to an inability to meet their own activities of daily living (ADL). Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Acute care facilities care for clients with a higher acuity level. Ambulatory care is also referred to as outpatient care and is a short stay.
A client will be discharged from an acute care facility but will require home health services to assess the need for assistive devices to aid in activities of daily living and identify issues related to fine motor movements and muscle retraining after a stroke. What referral will home health services make?
- A. Physical therapy
- B. Homemakers
- C. Occupational therapy
- D. Speech therapy
Correct Answer: C
Rationale: Occupational therapy will assess the need for assistive devices to aid in activities of daily living and identify issues related to fine motor movements and muscle retraining. Physical therapy will assess the client's mobility after orthopedic surgery, injury, or stroke. Homemaker services will clean, do laundry, and shop for groceries. Speech therapy will provide rehabilitation to clients with speech or swallowing disorders.
An LPN says to an RN, 'I don't understand why I get paid less, yet we do the same thing here at work.' What role does the RN have in the healthcare setting that the LPN does not?
- A. The RN only cares for clients with well-defined, common problems.
- B. The RN's role is more complex and involves management and coordination of client care.
- C. The RN is responsible for everything that the LPN does in the healthcare setting.
- D. The RN is the only provider that cares for clients that require competency and expertise.
Correct Answer: B
Rationale: The RN's role is more complex, involving the management and coordination of all the care provided to a group of clients. LPN/LVNs care for clients with well-defined, common problems that often require a high level of technical competency and expertise. LPNs are responsible for their own actions and must work within their scope of practice.
The LPN is part of a group of nurses that has an RN team leader as well as another LPN and two nursing assistants who will be providing care to a group of clients. What type of nursing method is this considered?
- A. Functional nursing
- B. Total client care
- C. Case method
- D. Team nursing
Correct Answer: D
Rationale: Team nursing is composed of an RN team leader, other RNs, LPN/LVNs, and nursing assistants who provide care to a group of clients. Functional nursing is a task-oriented method where everyone in the group is assigned to specific tasks. Case method is the same as private duty nursing. Total client care refers to assignments in which a nurse assumes all the care for a small group of clients.
A client is going to be in subacute care for approximately 30 days. The client will require frequent assessments and periodic review of the client's progress. What role will the registered nurse have in the care of this client?
- A. The RN will provide direct care for the client.
- B. The RN will ensure that the client eats 100% of the meals.
- C. The RN will order the various treatments for the client.
- D. The RN will coordinate the client's care.
Correct Answer: D
Rationale: RNs coordinate clients' care, and LPN/LVNs provide and oversee care provided by unlicensed connective personnel (UAPs). The RN does not generally provide the direct care, and this would include overseeing meals. It is beyond the scope of practice for RNs to order treatments and medications.