Nokea
An 85-year-old client is eligible for Medicare reimbursable home care services. Referral is contingent on meeting which of the following criteria?
- A. homebound status, requiring skilled therapy care
- B. immediate previous hospitalization for acute care
- C. age
- D. requirement of nursing and social work support
Correct Answer: A
Rationale: The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/social work.
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An example of a process standard on a med-surg unit is:
- A. a procedure for changing IV tubing.
- B. a policy for staffing.
- C. the job description of the CEO (chief executive officer).
- D. a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.
Correct Answer: A
Rationale: Process standards define the actions and behaviors required by staff to provide care.
The nurse is caring for a client recovering from a stroke who recently regained consciousness. The client is having difficulty communicating verbally with the team. Which of the following would be least appropriate?
- A. Begin client data collection prior to receiving the physician's order for the referral.
- B. Use documents to contribute information for the referral.
- C. Wait for the physician to order speech therapy and then assist with the appropriate documentation.
- D. Participate in the client referral process.
Correct Answer: C
Rationale: The nurse should participate in the client referral process, collect client data, and use appropriate documents to contribute information. It is not necessary to wait for the physician's order if the nurse recognizes the need for client referral.
The nurse is caring for a client who is unsure they will be able to make medical decisions as their disease progresses and would like to appoint another individual to have the authority to make these decisions. Which of the following options would be most appropriate?
- A. a living will
- B. informed consent
- C. a healthcare proxy
- D. non-informed consent
Correct Answer: C
Rationale: A healthcare proxy involves the client appointing an individual to make medical decisions with regard to their treatment if they are unable to do so themselves.
An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do?
- A. He should take the assignment, but make it clear he will only care for adult clients.
- B. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.
- C. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice.
- D. He should take the assignment, but ask to be paired with a more experienced LPN.
Correct Answer: B
Rationale: While the LPN may specialize in a certain type of nursing or feel more comfortable caring for a specific client population, he should be able to use his skill set to safely and independently care for other populations as well. However, the LPN should let the charge nurse know his background before beginning his shift so he can familiarize himself with new equipment, ask questions, and identify resources.
Vaccines provide what type of immunity?
- A. active
- B. passive
- C. transplacental
- D. active and passive
Correct Answer: A
Rationale: Vaccines stimulate the body's immune system to produce antibodies, conferring active immunity. Passive immunity involves transferred antibodies, and transplacental immunity is a form of passive immunity from mother to fetus.