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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.
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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.
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 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.
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.
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.