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As a member of a nursing care team, but not the leader, it is important for a nurse to have good communication skills.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Good communication is vital for all team members to ensure coordinated care.
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Insurance companies will only pay costs when a procedure is deemed medically necessary. By medically necessary, they mean
- A. the procedure has to be a reasonable intervention, given the patient's diagnosis.
- B. the patient has to want to have the procedure done.
- C. the procedure has to treat an illness or injury.
- D. the procedure must contribute to the patient's sense of well-being.
Correct Answer: A,C
Rationale: Medically necessary procedures are reasonable interventions that treat an illness or injury.
Which of the following is the major difference between an assisted living facility and an independent living facility?
- A. There is no major difference.
- B. Independent living facilities do not provide nursing care.
- C. Residents must have medical needs to be placed in an assisted living facility.
- D. Assisted living facilities provide activities, but independent living facilities do not.
Correct Answer: B,C
Rationale: Assisted living facilities provide nursing care for residents with medical needs, unlike independent living facilities.
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.
Which of the following can be considered a disadvantage of team nursing?
- A. Patients have more than one name to remember when asking for their nurse.
- B. Patients may not like different team members and ask to work with just one.
- C. Care can be fragmented unless there is good communication among team members.
- D. The team leader may delegate tasks that are inappropriate to a team member's level of expertise.
Correct Answer: A,C,D
Rationale: Team nursing can lead to multiple caregivers, fragmented care without communication, and inappropriate delegation.
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.