Nokea
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.
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A 48-year-old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recovering from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance. What care options are best for this man at this time?
- A. Inpatient drug and alcohol rehabilitation facility
- B. Ambulatory care clinic
- C. Outpatient mental health services
- D. Home health care
Correct Answer: A,C
Rationale: Inpatient rehab addresses his alcoholism, and outpatient mental health services support ongoing recovery.
Explain why a team leader must have good communication skills.
- A. Good communication ensures clear task delegation.
- B. Good communication prevents errors in patient care.
- C. Good communication fosters teamwork and coordination.
- D. Good communication builds patient trust.
Correct Answer: A,B,C
Rationale: A team leader needs communication skills to delegate tasks, prevent errors, and foster teamwork.
Match the following Key Term(s) or italicized words from your text with the correct description: Case management
- A. Patient care approach aimed at coordinating the care of patients who are vulnerable, at risk, or cost intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health
- 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: A
Rationale: Case management coordinates care for vulnerable or high-cost patients to ensure cost-effectiveness and optimal health outcomes.
A case manager's main function is to coordinate and facilitate the care of several different patients concurrently.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case managers coordinate care for multiple patients to ensure efficiency and effectiveness.
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.