Nokea
A nurse in a long-term care setting that is fundedby Medicare and Medicaid is completing standardized protocols for assessment and care planning for reimbursement. Which task is the nurse completing?
- A. A minimum data set
- B. An admission assessment and acuity level
- C. A focused assessment/specific body system
- D. An intake assessment form and auditing phase
Correct Answer: A
Rationale: The correct answer is A: A minimum data set. In a long-term care setting funded by Medicare and Medicaid, completing standardized protocols for assessment and care planning for reimbursement involves using a minimum data set, which is a standardized instrument for assessing residents' health status. This set of data elements is necessary for comprehensive assessment and care planning to ensure appropriate reimbursement. The other choices (B, C, D) do not specifically address the standardized protocols required for reimbursement in this setting. An admission assessment and acuity level would be part of the process, but not the primary task being completed in this scenario. A focused assessment on a specific body system or an intake assessment form and auditing phase are not synonymous with the standardized protocols needed for reimbursement in a Medicare/Medicaid-funded long-term care facility.
You may also like to solve these questions
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic prostate cancer. The nurse notes that the patient is exhibiting signs of loss, grief, and intense sadness. Based on this assessment data, the nurse will document that the patient is most likely in what stage of death and dying?
- A. Depression
- B. Denial
- C. Anger
- D. Resignation .
Correct Answer: A
Rationale: The correct answer is A: Depression. In the context of the stages of death and dying proposed by Elisabeth Kübler-Ross, a patient exhibiting signs of loss, grief, and intense sadness is likely in the depression stage. This stage involves feelings of hopelessness, despair, and sorrow as the patient comes to terms with the reality of their situation. Denial (choice B) is characterized by a refusal to accept the diagnosis, anger (choice C) involves feelings of resentment and frustration, and resignation (choice D) signifies a sense of acceptance and peace. In this scenario, the patient's emotional state aligns most closely with depression, indicating a deep sense of sadness and mourning.
A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurses most appropriate response?
- A. Encourage the woman to continue with the medication while monitoring her skin condition closely.
- B. Refer the woman to her primary care provider to have the medication changed.
- C. Arrange for the woman to go to the nearest emergency department.
- D. Encourage the woman to take an OTC antihistamine with each dose of the antibiotic.
Correct Answer: B
Rationale: The correct answer is B: Refer the woman to her primary care provider to have the medication changed.
Rationale:
1. Rash after taking the first dose of an antibiotic suggests a possible allergic reaction.
2. Allergic reactions can range from mild to severe, including anaphylaxis.
3. It is crucial to discontinue the suspected medication to prevent worsening of the reaction.
4. Referring the patient to their primary care provider ensures proper evaluation and management.
5. Changing the medication is necessary to avoid potential harm from continued exposure.
Summary:
A: Continuing the medication can worsen the allergic reaction and is not recommended.
C: Going to the emergency department may be excessive at this point for a mild rash.
D: Taking an antihistamine does not address the underlying issue of an allergic reaction.
A 52-year-old woman has just been told she has breast cancer and is scheduled for a modified mastectomy the following week. The nurse caring for this patient knows that she is anxious and fearful about the upcoming procedure and the newly diagnosed malignancy. How can the nurse most likely alleviate this patients fears?
- A. Provide written material on the procedure that has been scheduled for the patient.
- B. Provide the patient with relevant information about expected recovery.
- C. Give the patient current information on breast cancer survival rates.
- D. Offer the patient alternative treatment options.
Correct Answer: B
Rationale: The correct answer is B: Provide the patient with relevant information about expected recovery. This option addresses the patient's anxiety by providing her with concrete information about what to expect after the procedure. By knowing the expected recovery process, the patient can feel more in control and prepared, which can help alleviate fears.
Summary:
A: Providing written material on the procedure does not directly address the patient's fears about the upcoming surgery and cancer diagnosis.
C: Giving the patient current information on breast cancer survival rates may increase anxiety rather than alleviate it, as it focuses on statistics rather than the individual patient's concerns.
D: Offering alternative treatment options may not be appropriate at this stage when the patient is already scheduled for a modified mastectomy. It may add confusion and further anxiety.
A patient diagnosed with cervical cancer will soon begin a round of radiation therapy. When planning the patients subsequent care, the nurse should prioritize actions with what goal?
- A. Preventing hemorrhage
- B. Ensuring the patient knows the treatment is palliative, not curative
- C. Protecting the safety of the patient, family, and staff
- D. Ensuring that the patient adheres to dietary restrictions during treatment
Correct Answer: C
Rationale: The correct answer is C: Protecting the safety of the patient, family, and staff. This is the priority when planning care for a patient undergoing radiation therapy due to the potential risks of radiation exposure to others. Ensuring safety involves implementing proper radiation safety protocols, educating the patient and family on safety measures, and providing a safe environment for all.
Choices A, B, and D are incorrect. Preventing hemorrhage is important but not the top priority during radiation therapy. Ensuring the patient understands the treatment's purpose is essential but not the immediate priority. Adherence to dietary restrictions is important for overall health but is not the primary focus when prioritizing actions for radiation therapy.
A nurse is using the explanatory model to determinethe etiology of an illness. Which questions should the nurse ask? (Select all that apply.)
- A. How should your sickness be treated?
- B. What do you call your problem?
- C. How does this illness work inside your body?
- D. What do you fear most about your sickness?
Correct Answer: B
Rationale: The correct answer is B: What do you call your problem? In the explanatory model, this question helps the nurse understand the patient's perspective and cultural beliefs about their illness. By asking how the patient labels their illness, the nurse gains insight into the patient's understanding of the illness, which can influence their treatment adherence and outcomes. The other options are incorrect because:
A: How should your sickness be treated? - This question focuses on treatment preferences rather than understanding the patient's beliefs.
C: How does this illness work inside your body? - This question is more aligned with the biomedical model, seeking physiological explanations rather than patient perspectives.
D: What do you fear most about your sickness? - While important for assessing emotional aspects, this question does not directly address the patient's explanatory model.