Nokea
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.
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Veterans' hospitals are an example of which type of ownership?
- A. For-profit
- B. Government-owned
- C. Proprietary
- D. Nonprofit
Correct Answer: B
Rationale: Veterans' hospitals are an example of government-owned healthcare institutions. For-profit agencies (proprietary) are owned and operated by corporate groups with investors and stockholders. Non-profit institutions include universities and religious organizations.
An LPN just received a license to practice and applied for a position at a skilled nursing care facility. While being interviewed, the LPN asks what to expect from the role at the facility. What is the best answer by the interviewer?
- A. You will be organizing and coordinating the care of the clients.'
- B. You will be participating in the care of the clients.'
- C. You will be in charge of a unit and have 24-hour accountability.'
- D. You will be responsible for developing and implementing a plan of care for the clients.'
Correct Answer: B
Rationale: An RN must be in charge of client's care, although other healthcare providers, particularly LPN/LVNs, participate in their care. Organizing and coordinating client care, being in charge of a unit with 24-hour accountability, and developing and implementing a plan of care for the clients are under the scope of practice of an RN.
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.
Which of the following describes the role of the nurse as defined by Florence Nightingale?
- A. Helping people to carry out activities that contribute to health and recovery
- B. Putting clients in the best condition for nature to act upon them
- C. Diagnosing and treating human responses to actual or potential health problems
- D. Promoting a caring relationship that facilitates health and healing
Correct Answer: B
Rationale: Florence Nightingale (1859) described the role of the nurse as putting 'the patient in the best condition for nature to act upon him.' Virginia Henderson envisioned the nurse's role as helping people (sick or well) to carry out activities that contribute to health, recovery, or a peaceful death. The American Nurses Association (ANA) traditionally defined nursing as 'the diagnosis and treatment of human responses to actual or potential health problems.' In response to an increased emphasis on the science of care, the ANA now acknowledges 'promotion of a caring relationship that facilitates health and healing' as one of the four essential features of contemporary nursing practice.
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.