Nokea
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.
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The RN is assuming all of the care for a small group of clients, and an LPN is assigned to another group of clients with a lower acuity. What type of nursing is this considered?
- A. Total client care
- B. Team nursing
- C. Functional nursing
- D. Primary care nursing
Correct Answer: A
Rationale: Total client care refers to assignments in which a nurse assumes all the care for a small group of clients. Team nursing are teams made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants, and they provide care to a group of clients. Functional nursing is a task-oriented method of nursing. Primary care nursing is when an RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift.
A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend their last days in a facility that will be able to keep the client comfortable and control their severe dyspnea. What facility will meet the needs of the client and family?
- A. Rehabilitation care
- B. Hospice care
- C. Intermediate care facilities
- D. Ambulatory care
Correct Answer: B
Rationale: Hospice provides care for clients diagnosed with a terminal illness whose life expectancy is fewer than 6 months. Hospices allow terminally ill clients to live as fully as possible while managing pain, discomfort, and other symptoms. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Ambulatory care is also outpatient care.
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.
Which setting has been the traditional site for the nursing work force?
- A. Industrial environments
- B. Inpatient units
- C. Same-day surgery units
- D. Clinics
Correct Answer: B
Rationale: Although hospitals include all levels of outpatient areas (e.g., industrial environments, clinics, same-day surgery units, related diagnostic departments), inpatient units have been the traditional site for much of the nursing work force.
A client experienced a stroke approximately 2 weeks previously and has residual left side hemiparesis. What facility would best meet the needs of this client in order to help regain independence with activities of daily living?
- A. Rehabilitation care
- B. Hospice care
- C. Ambulatory care
- D. Acute care
Correct Answer: A
Rationale: Rehabilitation care provides physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Hospices provide care for clients diagnosed with a terminal illness whose life expectancy is fewer than 6 months. Ambulatory care is short-term outpatient care. Acute care facilities are facilities that provide care to clients of higher acuity.