NCLEX RN test bank - Chapter 2 Patient Care Settings

NCLEX RN test bank - Chapter 2 Patient Care Settings ANS: 4 The rehabilitation process works to promote independence at whatever level the patient is capable of achieving. - CORRECT ANSWER-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. 2. be counseled into a new career. 3. develop better coping skills to accept his disability. 4. attain the greatest degree of independence possible. ANS: 4 Domiciliary care provides room, board, and supervision, where residents may come and go as they please. Sheltered housing does not provide 24- hour care. - CORRECT ANSWER-5. The nurse assesses a client who needs to be reminded to take premeasured oral medications, wash, go to meals, and undress and come to bed at night, but is considered safe to come and go as he pleases. The nurse determines that the appropriate placement would be in a facility that features: 1. skilled care. 2. intermediate care. 3. sheltered housing. 4. domiciliary care. 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. - CORRECT ANSWER-1. While the home health nurse is doing the entry to service assessment on a home-bound patient, the wife of the patient asks whether Medicare will cover the patient's ventilator therapy 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: 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 improvement. - CORRECT ANSWER-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 Social withdrawal is a frequent response to relocation. - CORRECT ANSWER-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. 4. passive aggressive