Nokea
The nurse assesses a patient's ability to perform self-care activities, as well as more complex social and household activities. What is provided from this assessment?
- A. Physical status
- B. Emotional status
- C. Health status
- D. Functional status
Correct Answer: D
Rationale: The functional status is related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
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The home health nurse is assisting a family to select a long-term care facility for an 80-year-old widow in good health who no longer drives, loves to play cards, can ambulate with a walker, and is oriented. Which facility would be the best selection for this patient?
- A. Subacute unit setting
- B. Long-term care facility (nursing home)
- C. Assisted living center
- D. Continuing care retirement center (CCRC)
Correct Answer: C
Rationale: The assisted living center provides meals, transportation, social interaction, and a homelike quality without the intrusion of the medical model. The patient's age does not make her a reasonable candidate for a CCRC. The patient does not require acute skilled nursing care.
The long-term care facility nurse recognizes that visiting the resident, changing his or her position, assessing for incontinence, providing skin care, and offering fluids are part of the nurse's responsibility. What does the initiation of these interventions provide?
- A. Continuity
- B. Safety
- C. Prevention
- D. Reassurance
Correct Answer: B
Rationale: Nursing interventions basic to long-term care include monitoring safety measures such as changing the resident's position every 2 hours, assessing for incontinence, providing skin care when needed, and offering fluids.
The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center. What benefits should the patient expect to receive?
- A. Overnight care
- B. Respite care for the family
- C. Social interaction for the patient
- D. Mental stimulation for the patient
- E. Supporting maintenance of the ADLs
Correct Answer: B,C,D,E
Rationale: Overnight care is usually not offered from a day care center.
The nurse clarifies to the family of a patient that one of the roles of the LPN/LVN in the home care setting is to evaluate the care provided to the patient by which provider?
- A. The family
- B. Other licensed care providers
- C. Nonlicensed staff
- D. The health care provider
Correct Answer: C
Rationale: One of the roles of the LPN/LVN in the home care setting may be to evaluate the care provided by CNAs, HHAs, homemakers, and personal care attendants.
A nurse helps a family understand that once hospice service is initiated, the focus of care changes from rehabilitation and restoration to what type of care?
- A. Maintaining the patient at the optimal level
- B. Assisting with funeral planning
- C. Relieving the family of care
- D. Maintaining comfort as death approaches
Correct Answer: D
Rationale: Hospice care is focused on the provision of comfort to the person who is approaching death. While hospice will assist with funeral planning as needed, it is not the focus of care. Hospice provides respite for the family, but hospice does not relieve the family of care duties.