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When a patient asks why he must be transferred to a subacute unit from the hospital, what would be an appropriate response by the nurse?
- A. Reimbursement guidelines limit adults' stays in an acute setting.
- B. The health care provider can oversee care more closely in a subacute setting.
- C. Financial restrictions of insurance limit time spent in an acute care setting.
- D. Cost and services at the acute care setting are the same as at the hospital.
Correct Answer: A
Rationale: In the acute care setting, strict rules about length of stay and limitations in cost reimbursement limit the amount of time adults can be hospitalized. These strict reimbursement rules for acute care do not apply, however, to subacute care provided in a skilled nursing facility setting.
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In the long-term care facility, health care professionals work together to meet the needs of older adults and to go over the care plan with the resident and family members. What is this approach called?
- A. Team approach
- B. Individualized approach
- C. Interdisciplinary approach
- D. Outgoing approach
Correct Answer: C
Rationale: The long-term care facility is an interdisciplinary setting.
The nurse explains to a patient that shopping, using a phone, and administering his own medications are classified as activities of daily living.
- A. instrumental
Correct Answer: instrumental
Rationale: IADLs are more complex skills than ADLs and indicate a higher level of independent functioning.
What is the time limit for the legal administration of medications?
- A. 30 minutes
- B. 1 hour
- C. 90 minutes
- D. 2 hours
Correct Answer: D
Rationale: In long-term care, there is a 2-hour window for legal administration of medications, 1 hour before and 1 hour after the official administration time.
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.
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.