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.
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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.
What is the goal for services provided by home health care agencies?
- A. Self-care
- B. Assisted living
- C. Rehabilitation
- D. Improved function
Correct Answer: C
Rationale: Services provided by home health care agencies are aimed at rehabilitation.
The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age. What fraction of the US population live in a home setting?
- A. 1/4
- B. 1/2
- C. 1/3
- D. 3/4
Correct Answer: B
Rationale: Approximately (11.3 million) of the US population over the age of 65 live in a home or family setting.
The LPN/LVN performs which functions when working as a staffing coordinator of a home health agency?
- A. Scheduling appropriate care providers
- B. Reviewing documentation
- C. Verifying financial coverage
- D. Making referrals
- E. Performing comprehensive assessments
Correct Answer: A,C
Rationale: Reviewing documentation may be done by an LPN/LVN but not in the role of staffing coordinator but as a medical chart auditor or reviewer. Scheduling care providers and verifying financial coverage are among the duties of the staffing coordinator. Making referrals and performing comprehensive assessments are duties of the RN.
Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?
- A. Her regular hospitalization insurance will pay for the care.
- B. She will still have daily health care provider visits.
- C. She will need to contract outside physical therapy services.
- D. She will probably be discharged within 6 months.
Correct Answer: D
Rationale: A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months. Regular hospitalization insurance does not cover long-term care. Daily health care provider visits do not occur in the long-term care facility.
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