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The LPN has been assigned to a medical floor and to do all of the dressing changes and other treatments. The RN will make the rounds with the physicians, transcribe orders, and administer all of the IV medications. Another LPN will administer medications. What type of nursing is this group providing?
- A. Team nursing
- B. Total client care
- C. Functional nursing
- D. Primary care nursing
Correct Answer: C
Rationale: Functional nursing is a task-oriented method, and distinct duties are assigned to specific personnel. Total client care refers to assignments in which a nurse assumes all the care for a small group of clients. In team nursing, teams made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants provide care to a group of clients. Primary care nursing is when the RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift.
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An RN has been assigned to care for three clients on the medical unit and will assume 24-hour accountability for those clients' care. When the nurse goes off duty, the plan of care will be continued by a secondary nurse. What type of nursing model is this considered?
- A. Team nursing
- B. Case method
- C. Functional nursing
- D. Primary care nursing
Correct Answer: D
Rationale: In primary care nursing, the RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift. Team nursing is made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants who provide care to a group of clients. The case method is the same as a private duty nurse. In functional nursing, distinct duties are assigned to specific personnel.
A client who is mentally disabled is working at an adult activity center. The client is unable to live independently, and the family member they are living with can no longer assist with supervised care. What option for living arrangements would be ideal for this person?
- A. Congregate housing
- B. Boarding home
- C. Long-term acute care facility
- D. Acute care facility
Correct Answer: B
Rationale: Boarding homes usually are small homes with individual rooms where residents pay for room and board and minimal nursing services. Residents often share rooms, have a common dining area for all meals, and also oversee employment for disabled adults and provide a stable environment for those who cannot live independently. Congregate housing provides independent living for seniors or disabled adults who need minimal to no assistance. Long-term care facilities are for clients who require long-term wound care or ventilator support or who have other conditions that are potentially unstable but do not have rapid changes. Acute care facilities are for those clients who are of high illness acuity.
A client will be discharged from an acute care facility but will require home health services to assess the need for assistive devices to aid in activities of daily living and identify issues related to fine motor movements and muscle retraining after a stroke. What referral will home health services make?
- A. Physical therapy
- B. Homemakers
- C. Occupational therapy
- D. Speech therapy
Correct Answer: C
Rationale: Occupational therapy will assess the need for assistive devices to aid in activities of daily living and identify issues related to fine motor movements and muscle retraining. Physical therapy will assess the client's mobility after orthopedic surgery, injury, or stroke. Homemaker services will clean, do laundry, and shop for groceries. Speech therapy will provide rehabilitation to clients with speech or swallowing disorders.
A client is going to be in subacute care for approximately 30 days. The client will require frequent assessments and periodic review of the client's progress. What role will the registered nurse have in the care of this client?
- A. The RN will provide direct care for the client.
- B. The RN will ensure that the client eats 100% of the meals.
- C. The RN will order the various treatments for the client.
- D. The RN will coordinate the client's care.
Correct Answer: D
Rationale: RNs coordinate clients' care, and LPN/LVNs provide and oversee care provided by unlicensed connective personnel (UAPs). The RN does not generally provide the direct care, and this would include overseeing meals. It is beyond the scope of practice for RNs to order treatments and medications.
A client is admitted to an acute care facility after having a stroke. The client will require a variety of healthcare services throughout the hospital stay as well as coordination of care prior to discharge. What referral would be a priority for overseeing the client's care?
- A. Case management
- B. Physical therapy
- C. Occupational therapy
- D. Dietary services
Correct Answer: A
Rationale: The person responsible for overseeing the client's care, usually an RN with a bachelor's or master's degree or another highly experienced health professional, is called the case manager. Physical therapy, occupational therapy, and dietary services are all important care disciplines but do not encompass all of the client's needs.