Nokea
An 81-year-old woman had a total hip replacement 1 month ago but has had difficulty swallowing related to an injury from the breathing tube. Three weeks ago she had a feeding tube placed through her abdominal wall directly into her stomach (a gastrostomy) to help her get enough calories and for administering medications. She has been improving and has just started a thickened-liquids diet. Which of the following would be the appropriate level of care for her?
- A. Acute care hospital
- B. Skilled nursing facility
- C. Rehabilitation facility
- D. Long-term acute care hospital
Correct Answer: B
Rationale: A skilled nursing facility is appropriate for her ongoing care needs, including feeding tube management and therapy.
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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.
___ is a government-run insurance plan for people older than a certain age.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: A
Rationale: Medicare is for people over 65 or with certain disabilities.
___ is a government-run insurance program for poor people and some people who are disabled.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: B
Rationale: Medicaid supports low-income individuals and those with disabilities.
Multidisciplinary teams work especially well for patients with multiple and complex health problems.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Multidisciplinary teams are effective for addressing complex health issues.
Team leaders probably know more about each patient in his or her care because they have other staff to help them.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Team leaders may not know more about patients, as they rely on team communication.