Nokea
Which setting has been the traditional site for the nursing work force?
- A. Industrial environments
- B. Inpatient units
- C. Same-day surgery units
- D. Clinics
Correct Answer: B
Rationale: Although hospitals include all levels of outpatient areas (e.g., industrial environments, clinics, same-day surgery units, related diagnostic departments), inpatient units have been the traditional site for much of the nursing work force.
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Which nursing theorist stated that clients are open systems in constant interaction with their environment?
- A. Florence Nightingale
- B. Virginia Henderson
- C. Imogene King
- D. Dorothea Orem
Correct Answer: C
Rationale: Imogene King stated that clients are open systems in constant interaction with their environment. Florence Nightingale described the role of the nurse as putting 'the patient in the best condition for nature to act upon him.' Virginia Henderson envisioned the nurse's role as helping people (sick or well) to carry out activities contributing to health, recovery, or a peaceful death that they would do for themselves if they had the necessary strength, will, or knowledge. Dorothea Orem was a proponent of the self-care deficit theory.
A client is living in congregate housing and expresses disliking living there to the LPN. When the nurse asks what is making the client unhappy, the client states, 'It is a nice place but I am unable to do anything because I hardly have money for my medicines or food.' What is an issue related to congregate housing?
- A. Residents may find that congregate housing is unaffordable.
- B. Residents may not have any other resources to purchase extra services or goods.
- C. Residents are not assured of appropriate housing and may be evicted at any time.
- D. Residents must be financially able to participate in outside activities.
Correct Answer: B
Rationale: Congregate housing is affordable, but residents may not have any other resources to purchase extra services or goods. They are assured of appropriate housing but may lack the resources, ability, or opportunity to participate in outside activities.
A client who is receiving respiratory support with a tracheostomy and mechanical ventilation after a stroke is being discharged from the acute care facility. Family members state that they will not be able to care for the client at home to provide the care that is required. What type of care may this client be a candidate for after discharge?
- A. Long-term acute care
- B. Subacute care
- C. Intermediate care facility
- D. Rehabilitation care
Correct Answer: A
Rationale: Clients who require ventilator support or who have other conditions that are potentially unstable but do not have rapid changes may receive care in a long-term acute care facility. Subacute care refers to care that is more intense than traditional long-term care but less intense than acute inpatient care. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible.
Which type of length of stay includes emergency department visits?
- A. Long-term care
- B. Acute care
- C. Short stay
- D. In-and-out care
Correct Answer: D
Rationale: An example of in-and-out care is an emergency department visit. Long-term care provides care to residents for the remainder of their lives. Acute care occurs in hospitals where clients stay more than 24 hours but less than 30 days. Short stay provides care to clients who suffer from acute conditions or need treatments that entail less than 24 hours of care and monitoring.
A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend their last days in a facility that will be able to keep the client comfortable and control their severe dyspnea. What facility will meet the needs of the client and family?
- A. Rehabilitation care
- B. Hospice care
- C. Intermediate care facilities
- D. Ambulatory care
Correct Answer: B
Rationale: Hospice provides care for clients diagnosed with a terminal illness whose life expectancy is fewer than 6 months. Hospices allow terminally ill clients to live as fully as possible while managing pain, discomfort, and other symptoms. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Ambulatory care is also outpatient care.