,
,
,
,
,
,
,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. What is
the nurse‘s most appropriate response?
a. ―Yes, your husband would qualify for a skilled care facility because of his
inability to feed and dress himself.
b. ―No, your husband‘s disabilities would not qualify him for a skilled
facility.
c. ―Yes, your husband qualifies for placement in a skilled care facility because
of his dementia.
d. ―Yes, anyone who is willing to pay can be placed in a skilled nursing facility.
ACTUAL CORRECT ANSWER: B
Placement in a skilled nursing facility must be authorized by a physician. A clear
need for rehabilitation must be evident, or severe deficits in self-care that have a
potential for improvement and require the services of a registered nurse, a physical
therapist, or a speech therapist must exist.
DIF: Cognitive Level: Analysis REF: p. 13 OBJ: 6 TOP: Placement
Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care
Environment
3. A 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 should analyze this relocation
response as
a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
,ACTUAL CORRECT ANSWER: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Application REF: p. 21 OBJ: 10
TOP: Relocation Response KEY: Nursing Process Step: Assessment MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
4. A nurse clarifies to a new patient in a rehabilitation center what
rehabilitation means. What statement made by the patient indicates a correct
understanding?
a. ―I will return to my previous level of functioning.
b. ―I will be counseled into a new career.
c. ―I will develop better coping skills to accept his disability.
d. ―I will attain the greatest degree of independence possible.
ACTUAL CORRECT ANSWER: D
The rehabilitation process works to promote independence at whatever level the
patient is capable of achieving.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 7
TOP: Rehabilitation Goals KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Coordinated Care
5. A nurse assesses a patient who needs to be reminded to take premeasured
oral medications, wash, go to meals, and undress and come to bed at night, but
coming and going as he pleases is considered safe for him. What facility placement
would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
, ACTUAL CORRECT ANSWER: D
Domiciliary care provides room, board, and supervision, and residents may come
and go as they please. Sheltered housing does not provide 24-hour care.
DIF: Cognitive Level: Comprehension REF: p. 19 OBJ: 3 | 9 TOP: ―
Levels of Care, Criteria for Domiciliary Residence
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. A nurse is making a list of the members of the rehabilitation team, so the
different types of services available to patients may be taught to a group of families.
Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ACTUAL CORRECT ANSWER: A
The rehabilitation team usually consists of all of the choices except the laboratory
technician, dietitian, and psychiatrist. (The mental health role is represented by the
psychologist.)
DIF: Cognitive Level: Comprehension REF: p. 17 OBJ: 7
TOP: Rehabilitation Team Members KEY: Nursing Process Step: Planning MSC:
NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A nurse explains the level of disability to a patient who was injured in a
construction accident that resulted in the loss of both his right arm and right leg.
This loss has affected his quality of life and ability to return to previous employment.
At what level should the client be classified as being disabled?
a. I
b. II
,
,
,
,
,
,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. What is
the nurse‘s most appropriate response?
a. ―Yes, your husband would qualify for a skilled care facility because of his
inability to feed and dress himself.
b. ―No, your husband‘s disabilities would not qualify him for a skilled
facility.
c. ―Yes, your husband qualifies for placement in a skilled care facility because
of his dementia.
d. ―Yes, anyone who is willing to pay can be placed in a skilled nursing facility.
ACTUAL CORRECT ANSWER: B
Placement in a skilled nursing facility must be authorized by a physician. A clear
need for rehabilitation must be evident, or severe deficits in self-care that have a
potential for improvement and require the services of a registered nurse, a physical
therapist, or a speech therapist must exist.
DIF: Cognitive Level: Analysis REF: p. 13 OBJ: 6 TOP: Placement
Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care
Environment
3. A 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 should analyze this relocation
response as
a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
,ACTUAL CORRECT ANSWER: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Application REF: p. 21 OBJ: 10
TOP: Relocation Response KEY: Nursing Process Step: Assessment MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
4. A nurse clarifies to a new patient in a rehabilitation center what
rehabilitation means. What statement made by the patient indicates a correct
understanding?
a. ―I will return to my previous level of functioning.
b. ―I will be counseled into a new career.
c. ―I will develop better coping skills to accept his disability.
d. ―I will attain the greatest degree of independence possible.
ACTUAL CORRECT ANSWER: D
The rehabilitation process works to promote independence at whatever level the
patient is capable of achieving.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 7
TOP: Rehabilitation Goals KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Coordinated Care
5. A nurse assesses a patient who needs to be reminded to take premeasured
oral medications, wash, go to meals, and undress and come to bed at night, but
coming and going as he pleases is considered safe for him. What facility placement
would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
, ACTUAL CORRECT ANSWER: D
Domiciliary care provides room, board, and supervision, and residents may come
and go as they please. Sheltered housing does not provide 24-hour care.
DIF: Cognitive Level: Comprehension REF: p. 19 OBJ: 3 | 9 TOP: ―
Levels of Care, Criteria for Domiciliary Residence
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. A nurse is making a list of the members of the rehabilitation team, so the
different types of services available to patients may be taught to a group of families.
Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ACTUAL CORRECT ANSWER: A
The rehabilitation team usually consists of all of the choices except the laboratory
technician, dietitian, and psychiatrist. (The mental health role is represented by the
psychologist.)
DIF: Cognitive Level: Comprehension REF: p. 17 OBJ: 7
TOP: Rehabilitation Team Members KEY: Nursing Process Step: Planning MSC:
NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A nurse explains the level of disability to a patient who was injured in a
construction accident that resulted in the loss of both his right arm and right leg.
This loss has affected his quality of life and ability to return to previous employment.
At what level should the client be classified as being disabled?
a. I
b. II
