chapter 2 - Chapter 2 Patient Care Settings MULTIPLE CHOICE...

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Chapter 2: Patient Care Settings MULTIPLE CHOICE 1. While the home health nurse is doing the entry to service assessment on a home-bound pa- tient, the wife of the patient asks whether Medicare will cover the patient’s ventilator ther- apy and his insulin injections. The nurse responds: 1. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” 2. “No, Medicare will not cover either of these ongoing therapies.” 3. “Medicare will cover ventilator therapy but not insulin injections.” 4. “Medicare will cover ongoing insulin therapy, but not a highly technical skill such as ventilator therapy.” ANS: 3 Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be taught to the family or the patient are not covered. PTS: 1 DIF: Cognitive Level: Application REF: 16 OBJ: 3 TOP: Medicare Coverage for Home Health KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. The wife of a patient asks the nurse whether her husband would be considered for placement in a skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat and dress himself. The nurse’s most appropriate reply is: 1. “Yes, your husband would qualify for a skilled care facility because of his inability to feed and dress himself.” 2. “No, your husband’s disabilities would not qualify him for a skilled facility.” 3. “Yes, because of his dementia your husband qualifies for placement in a skilled care facility.” 4. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.” ANS: 2 Placement in a skilled nursing facility must be authorized by the physician, there must be a clear need for rehabilitation or severe deficits in self-care that have a potential for improve- ment. PTS: 1 DIF: Cognitive Level: Analysis REF: 14 OBJ: 9 TOP: Placement Qualifications for Skilled Nursing Facility KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. The nurse has noted that a newly admitted resident to an extended care facility stays in her room, does not take active part in activities, and leaves the meal table after having eaten very little. The nurse analyzes this relocation response as: 1. regression. 2. social withdrawal. 3. depersonalization.
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4. passive aggressive. ANS: 2 Social withdrawal is a frequent response to relocation. PTS: 1 DIF: Cognitive Level: Application REF: 23 OBJ: 10 TOP: Relocation Response KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 4. The nurse clarifies to a new client in a rehabilitation center that “rehabilitation” means that the client will: 1. return to his previous level of functioning.
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