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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A concern regarding maternal and infant mortality and morbidity is that:
- A. a segment of the population is not receiving prenatal care.
- B. families appear unconcerned about quality health care.
- C. the personnel shortage in the maternity field will increase.
- D. maternal-child health workers are not adequately prepared.
Correct Answer: A
Rationale: There is a concern that a segment of the population is not accessing prenatal care, affecting infant and maternal mortality and morbidity.
While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process? A.Transport the client to the physical therapy room for treatment. ,B.Provide the client's medical record to the physical therapist. ,C.Contact the client's primary care provider to suggest a physical therapy referral.
- A. A) A, C, B
- B. B) A, B, C
- C. C) C, A, B
- D. D) C, B, A
Correct Answer: D
Rationale: For the client's referral to physical therapy, the nurse should first contact the primary care provider to discuss. Once the primary care provider provides the official referral, the physical therapist should have an opportunity to review the client's condition and medical record. Once the physical therapist has completed their review and is ready to see the client, the nurse can transport the client to physical therapy.
Which of the following is not true of clinical pathways?
- A. They need to be updated daily.
- B. They show how the client is expected to respond to their diagnosis.
- C. The goal is improvement or discharge from the facility.
- D. They are evidence based.
Correct Answer: A
Rationale: Clinical pathways may be daily or weekly, so they may not need to be updated every day.
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 non-English speaking client. The surgeon has asked the nurse to hurry up and prepare the client for their scheduled procedure, which is running late. Which of the following is least appropriate?
- A. Explain to the client's family member that the procedure may be delayed further.
- B. Inform the surgeon that the procedure will be delayed further because getting a staff interpreter will take additional time.
- C. Allow the client's family member to serve as the interpreter.
- D. Ask if a phone-service interpreting service is available to expedite the client preparation.
Correct Answer: C
Rationale: The client's family member should not be relied on as an interpreter.