Nokea
Veterans' hospitals are an example of which type of ownership?
- A. For-profit
- B. Government-owned
- C. Proprietary
- D. Nonprofit
Correct Answer: B
Rationale: Veterans' hospitals are an example of government-owned healthcare institutions. For-profit agencies (proprietary) are owned and operated by corporate groups with investors and stockholders. Non-profit institutions include universities and religious organizations.
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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 LPN just received a license to practice and applied for a position at a skilled nursing care facility. While being interviewed, the LPN asks what to expect from the role at the facility. What is the best answer by the interviewer?
- A. You will be organizing and coordinating the care of the clients.'
- B. You will be participating in the care of the clients.'
- C. You will be in charge of a unit and have 24-hour accountability.'
- D. You will be responsible for developing and implementing a plan of care for the clients.'
Correct Answer: B
Rationale: An RN must be in charge of client's care, although other healthcare providers, particularly LPN/LVNs, participate in their care. Organizing and coordinating client care, being in charge of a unit with 24-hour accountability, and developing and implementing a plan of care for the clients are under the scope of practice of an RN.
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 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.
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.