Ch.2

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

D) In-and-out care

A client is admitted to an acute care facility after having a stroke. The client will require a variety of healthcare services throughout the hospital stay as well as coordination of care prior to discharge. What referral would be a priority for overseeing the client's care? A) Case management B) Physical therapy C) Occupational therapy D) Dietary services

A) Case management

A client is unable to care for her needs and requires assistance with activities of daily living. The son calls the clinic and informs the LPN that he wants his mother to be able to remain in her home but must work and is unable to care for her 24 hours per day. What options can the LPN suggest for the care of his mother? A) Employ private duty nurses to care for the parent. B) He must admit his mother to a nursing home. C) He will have to quit his job and stay home to care for her. D) Take her to an adult day care center.

A) Employ private duty nurses to care for the parent.

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

A) Long-term acute care

A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have? A) Provide early, thorough discharge planning. B) Make sure the client is administered medications. C) Provide care to the client who is terminally ill and has less than 6 months to live. D) Make home visits to see that the patient is taken care of after discharge.

A) Provide early, thorough discharge planning.

A client experienced a stroke approximately 2 weeks previously and has residual left side hemiparesis. What facility would best meet the needs of this client in order to help regain independence with activities of daily living? A) Rehabilitation care B) Hospice care C) Ambulatory care D) Acute care

A) Rehabilitation care

The LPN is caring for clients at the hospital's medical unit. What role does the LPN/LVN have in the care of clients on this unit? A) The LPN/LVN may provide care to clients who have a well-defined, common problem. B) The LPN/LVN may manage and coordinate the care of a group of clients. C) The LPN/LVN has a high level of competency in assessment skills. D) The LPN/LVN encourages clients and family members to develop self-care skills

A) The LPN/LVN may provide care to clients who have a well-defined, common problem.

The RN is assuming all of the care for a small group of clients, and an LPN is assigned to another group of clients with a lower acuity. What type of nursing is this considered? A) Total care B) Team nursing C) Functional nursing D) Primary nursing

A) Total care

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

A. Hospice care

An LPN just received her license to practice and applied for a position at a skilled nursing care facility. While being interviewed, the LPN asks what her role will be 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."

B) "You will be participating in the care of the clients."

A student nurse asks the nursing instructor, "What will my role as a nurse encompass after I graduate?" What is the best response by the nursing instructor? A) "You will take care of clients who are ill in a hospital or long-term care facility." B) "You will care for individuals and families and play a role in health education, illness prevention, and promotion." C) "You will care for a variety of clients of all ages when they are ill." D) "It will all depend on where you want to work when you graduate. Nurses do different things in healthcare."

B) "You will care for individuals and families and play a role in health education, illness prevention, and promotion."

A client who is mentally disabled is working at an adult activity center. The client is unable to live independently, and the family member they are living with can no longer assist with supervised care. What option for living arrangements would be ideal for this person? A) Congregate housing B) Boarding home C) Long-term acute care facility D) Acute care facility

B) Boarding home

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 clients' 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.

B) Caregivers see to all their clients' needs, thus providing holistic and comprehensive care.

Veterans' hospitals are an example of which type of ownership? A) For-profit B) Government-owned C) Proprietary D) Nonprofit

B) Government-owned

A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend her last days in a facility that will be able to keep the patient comfortable and control her 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

B) Hospice care

In which setting is total care often practiced? A) Assisted living B) Intensive care units C) Boarding homes D) Congregate nursing

B) Intensive care units

A client is living in congregate housing and informs the LPN at the clinic that they do not like living there. When the nurse asks why they are unhappy with current living arrangements, 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.

B) Residents may not have any other resources to purchase extra services or goods.

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 all the care provided to a group of clients. 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 with common problems that require a high level of technical competency and expertise.

B) The RN's role is more complex and involves management and coordination of all the care provided to a group of clients.

Which setting has been the traditional site for the nursing work force? A. Dialysis units B. Inpatient units C. Same-day surgery units D. Clinics

B. Inpatient units

Which of the following describes the role of the nurse as defined by Florence Nightingale? A. Helping people to carry out activities that contribute to health and recovery B. Putting the patient in the best condition for nature to act upon him or her C. Diagnosing and treating human responses to actual or potential health problems D. Promoting a caring relationship that facilitates health and healing

B. Putting the patient in the best condition for nature to act upon him or her

Freestanding apartments are an example of which type of alternative healthcare setting? A) Skilled nursing care B) Assisted living C) Congregate housing D) Boarding homes

C) Congregate housing

The LPN has been assigned to a medical floor and to do all of the dressing changes and other treatments. The RN will make the rounds with the physicians, transcribe orders, and administer all of the IV medications. Another LPN will administer medications. What type of nursing is this group providing? A) Team nursing B) Total care C) Functional nursing D) Primary nursing

C) Functional nursing

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

C) Imogene King

. A client who has mental disabilities has recently lost his remaining parent and is unable to care for himself at home. What facility would best meet the needs of this client? A) Acute care facility B) Rehabilitation care C) Intermediate care facility D) Ambulatory care

C) Intermediate care facility

A hospital unit has been using a functional nursing model for delivery of care for several years. The manager has been discussing with the staff the idea of a change to total care because functional nursing has some disadvantages to the clients. What disadvantage is the manager referring to? A) It is expensive because it only uses RNs. B) Some nurses work harder than others to provide care. C) It fragments care and is confusing for the clients. D) Nurses are accountable for the client's care 24 hours per day.

C) It fragments care and is confusing for the clients.

A religious organization is an example of this type of ownership? A) Government-owned B) Proprietary agency C) Nonprofit agency D) Public facility

C) Nonprofit agency

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

C) Occupational therapy

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 patient who will go home after the rehabilitation? A) Acute care facility B) Long-term acute care C) Skilled nursing care D) Intermediate care facility

C) Skilled nursing care

The charge nurse is making assignments for a group of clients on a medical unit. When reviewing the acuity of the clients, the charge nurse assigns the RN to the clients with higher acuity levels. Why would the charge nurse assign the RN to the patient's with a higher acuity? A) LPNs do not understand how to care for clients with complex disorders. B) Assigning an LPN would allow them to provide care out of their scope of practice. C) Higher acuity clients request the services of an RN versus other care providers. D) A higher acuity client requires a greater need for highly skilled care.

D) A higher acuity client requires a greater need for highly skilled care.

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

D) In-and-out care

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 nursing

D) Primary nursing

The LPN is part of a group of nurses that has an RN team leader as well as another LPN and two nursing assistants who will be providing care to a group of clients. What type of nursing method is this considered? A) Functional nursing B) Total care C) Case method D) Team nursing

D) Team nursing

A client is going to be in a subacute care unit for approximately 30 days. The client will require frequent assessments and periodic review of the client's progress. What role will the registered nurse have in the care of this client? A) The RN will provide direct care for the client. B) The RN will ensure that the client eats 100% of the meals. C) The RN will order the various treatments for the client. D) The RN will coordinate the client's care.

D) The RN will coordinate the client's care.

Which of the following describes the goal of alternative care facilities? A) An RN and one or more assistive personnel care for a group of patients. B) An RN assumes all care for a small group of patients. C) There is 24-hour accountability by an RN. D) The facility provides the least restrictive living arrangement.

D) The facility provides the least restrictive living arrangement.

Home health nurses will be caring for a debilitated client in the home. The client will be discharged from an acute care facility to the care of family members. The client will require twice daily wound care for a large sacral decubitus ulcer. 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 client come to the home care agency twice daily for dressing changes C) To continue to see the patient twice daily for dressing changes until the wound heals D) To encourage family members to develop self-care skills and perform dressing changes

D) To encourage family members to develop self-care skills and perform dressing changes