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The LPN is caring for clients at the hospital's medical unit. What role does the LPN/LVN have in the care of clients on this unit?
- A. The LPN/LVN may provide care to clients who have a well-defined, common problem.
- B. The LPN/LVN may manage and coordinate the care of a group of clients.
- C. The LPN/LVN has a high level of competency in assessment skills.
- D. The LPN/LVN encourages clients and family members to develop self-care skills.
Correct Answer: A
Rationale: The LPN/LVN provides care to clients under the direction of a registered nurse (RN), advanced practice nurse (APRN), or physician in a structured healthcare setting. LPN/LVNs care for clients with well-defined, common problems that often require a high level of technical competency and expertise. The other answers are all roles that an RN would have.
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A client wishes to be discharged to home and not be admitted to a long-term care facility. The client requires daily wound care for a large sacral pressure ulcer and home health nurses will be consulted. What will be the goal of the home health nurses in the care of this client?
- A. to have the client admitted to a long-term care facility if the ulcer does not heal in a timely manner
- B. to have the client come to the home care agency daily for dressing changes
- C. to continue to see the client daily for dressing changes until the wound heals
- D. to encourage family members to develop self-care skills and perform dressing changes
Correct Answer: D
Rationale: The RN encourages clients and family members to develop self-care skills, with support from community resources. The home health nurse's goal is to allow the client to be cared for in their home and not in a long-term care facility if that is not what the client wishes. The client's condition does not enable self-care. The goal for the family will be to perform dressing changes in the home and the nurse will continue to monitor the condition of the wound.
A student nurse asks the nursing instructor, 'What will my role as a nurse encompass after I graduate?' What is the best response by the nursing instructor?
- A. You will take care of clients who are ill in a hospital or long-term care facility.'
- B. You will care for individuals and families and play a role in health education, illness prevention, and promotion.'
- C. You will care for a variety of clients of all ages when they are ill.'
- D. It will all depend on where you want to work when you graduate. Nurses do different things in healthcare.'
Correct Answer: B
Rationale: Nursing is concerned with caring for individuals, families, or groups. Nurses not only care for clients when they are ill but also play a significant role in health education, illness prevention, and promotion. Nurses attend to client needs related to: hygiene; activity; diet; the environment; medical treatment; and physical, emotional, and spiritual comfort. Therefore, nurses care for clients in a variety of settings, not just hospitals or long-term care facilities. Though nurses may choose to specialize in a certain area of healthcare, all these areas involve health education and promotion and illness prevention.
A religious organization is an example of this type of ownership?
- A. Government-owned
- B. Proprietary agency
- C. Nonprofit agency
- D. Public facility
Correct Answer: C
Rationale: Nonprofit institutions include universities and religious organizations. Veterans' hospitals are an example of government-owned or public healthcare institutions, which receive at least some tax support. For-profit agencies (proprietary) are owned and operated by corporate groups with investors and stockholders.
A hospital unit has been using a functional nursing model for delivery of care for several years. The manager has been discussing with the staff the idea of a change to total care because functional nursing has some disadvantages to the clients. What disadvantage is the manager referring to?
- A. It is expensive because it only uses RNs.
- B. Some nurses work harder than others to provide care.
- C. It fragments care and is confusing for the clients.
- D. Nurses are accountable for the client's care 24 hours per day.
Correct Answer: C
Rationale: Although efficient, functional nursing fragments care and is confusing for clients. Primary nursing is expensive because it uses RNs only. Nurses are designated certain tasks if functional nursing is employed, so the care is divided. Nurses are accountable for client care in a primary nursing model.
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.