Nokea
Although there is no hard and fast rule, when is the appropriate time to initiate hospice care?
- A. When the patient is expected to live less than 3 months
- B. When the patient is expected to live 6 months or less
- C. When the patient is expected to live less than 1 year
- D. When the patient is diagnosed with a terminal illness regardless of life expectancy
Correct Answer: B
Rationale: Hospice care is typically initiated when life expectancy is 6 months or less.
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The main goal of case management is to make sure patients at high risk get the care they need at the least cost to the facility.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case management focuses on cost-effective care for high-risk patients.
Delegation skills are helpful when leading a nursing care team but not essential because each team member knows his or her level of expertise.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Delegation skills are essential for effective team leadership to ensure tasks match expertise.
Match the following Key Term(s) or italicized words from your text with the correct description: Medicare
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: C
Rationale: Medicare is defined as the federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions.
An LPN is the team leader for another LPN and certified nursing assistant, all of whom are caring for 10 patients in a long-term care facility. The second LPN applies a pressure ulcer dressing incorrectly. Which of the following is the best response for the team leader to make when she discovers the error?
- A. You aren't performing this task correctly. Why don't you review the procedure manual to figure out what you did wrong?'
- B. I see you tried to do a good job, but I am ultimately responsible for all the care given to our patients. If there are any other dressing changes required, let me know and I will do them.'
- C. You did a good job with this dressing change. I see one step here that you may have overlooked. Tell me how you did it so we can figure out if it was done according to the procedure.'
- D. It looks like you forgot a step here. Is something bothering you today, or do you just not understand the procedure?'
Correct Answer: C
Rationale: This response is constructive, encourages discussion, and focuses on correcting the procedure collaboratively.
Which of the following is a criterion for admission to a skilled nursing facility?
- A. The patient has made maximum progress and is considered stable.
- B. The patient has been hospitalized within the last 30 days.
- C. The patient requires intensive physical therapy.
- D. The patient will not be able to return to independent living and will be a resident.
Correct Answer: B
Rationale: A recent hospitalization (within 30 days) is a common criterion for SNF admission under Medicare.