Nokea
Match the health-care practitioner to the appropriate functions: Registered nurse
- A. Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel
- B. Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care such as home health
- C. Performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states
- D. Employed by physicians or hospitals to work closely with physician and assist in directing patient care
- E. Certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments
- F. Practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel
Correct Answer: F
Rationale: Registered nurses provide direct care, manage departments, and supervise others.
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Which of the following services can be provided through home health care?
- A. Infusion therapy
- B. Occupational therapy
- C. Physical therapy
- D. Wound therapy
Correct Answer: A,B,C,D
Rationale: Home health care includes infusion, occupational, physical, and wound therapy services.
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.
In client-centered care, patients are encouraged to have a voice in goal setting and in deciding how the goals will be met.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Client-centered care empowers patients to participate in their care decisions.
Which of the following represents the desired outcomes of cardiac rehabilitation?
- A. To prevent worsening heart disease, new cardiac events, and premature death
- B. To provide exercise and nutritional guidance
- C. To provide care in a more cost-effective manner
- D. To help patients recover as quickly as possible
Correct Answer: A,B,D
Rationale: Cardiac rehabilitation aims to prevent heart disease progression, provide guidance, and aid recovery.
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.