Nokea
The nurse manager of a telemetry unit is considering changing from a team model of nursing to a primary nursing model. When considering this decision, what advantage does the manager understand the primary nursing model brings to nursing care?
- A. The RN will partner with one or more assistive personnel to care for a group of clients.
- B. Caregivers see to all their client's needs, thus providing holistic and comprehensive care.
- C. Tasks are divided, and clients see several people during the shift.
- D. The RN will be the team leader and direct the care that is provided by all of the other personnel.
Correct Answer: B
Rationale: In primary nursing, an RN assumes 24-hour accountability for the client's care and has total responsibility. An advantage is that the client has a caregiver who provides holistic and comprehensive care. An RN partnering with one or more assistive personnel when caring for a group of clients is an example of a client care-focused model. When tasks are divided with clients seeing several people during a shift, this is considered a total care model. An RN serving as a team leader directing the care provided by other personnel constitutes a team approach.
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Which type of care is used for clients with terminal illness who have a life expectancy of less than 6 months?
- A. Hospice care
- B. Ambulatory care
- C. Skilled nursing care
- D. Intermediate care
Correct Answer: A
Rationale: Hospices provide care for clients with terminal illness whose life expectancy is less than 6 months. Ambulatory care is also called outpatient care. Skilled nursing care facilities provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness. Intermediate care facilities are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities.
An older adult client is being transferred to another facility in order to continue physical therapy after having a total right hip replacement. What type of facility will provide skilled nursing and rehabilitative care for this client who will go home after the rehabilitation?
- A. Acute care facility
- B. Long-term acute care
- C. Skilled nursing care
- D. Intermediate care facility
Correct Answer: C
Rationale: Skilled nursing care facilities provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness. Acute care facilities are for clients who have a higher level of acuity. Long-term acute care 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. Intermediate care facilities provide care for people who cannot care for themselves because of mental or physical disabilities.
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.
An LPN says to an RN, 'I don't understand why I get paid less, yet we do the same thing here at work.' What role does the RN have in the healthcare setting that the LPN does not?
- A. The RN only cares for clients with well-defined, common problems.
- B. The RN's role is more complex and involves management and coordination of client care.
- C. The RN is responsible for everything that the LPN does in the healthcare setting.
- D. The RN is the only provider that cares for clients that require competency and expertise.
Correct Answer: B
Rationale: The RN's role is more complex, involving the management and coordination of all the care provided to a group of clients. LPN/LVNs care for clients with well-defined, common problems that often require a high level of technical competency and expertise. LPNs are responsible for their own actions and must work within their scope of practice.
A client arrives at the physician's clinic in order to receive care for a cough and fever. What type of healthcare institute classification is this client attending?
- A. Short stay
- B. Acute care
- C. Long-term care
- D. In-and-out care
Correct Answer: D
Rationale: In in-and-out care, contact with the client is measured in minutes versus hours. Typical examples are office visits, emergency department visits, and therapy sessions with in-and-out care. Short stays provides care to clients who suffer from acute conditions or need treatments that require fewer than 24 hours of care and monitoring. Long-term care provides care to residents for the remainder of their lives. Acute care traditionally occurs in hospitals where clients stay more than 24 hours.