A 72-year-old woman with multiple chronic health conditions has been informed that she
will need to have hip replacement surgery. The woman is having difficulty navigating the
complexity of the health care system, but wishes to maximize her health outcomes.
Who would be most helpful in assisting the woman? - A coordinated care manager
.A 76-year-old client is being treated in hospital for pneumonia and his discharge
planning is in progress. The client had been living with his son and daughter-in-law, but
they have expressed to the care team that this will no longer be the case. The client,
however, is unable to live independently due to a number of chronic health problems.
What member of the care team would be most able to assist the client with
organizing his living situation? - Social worker
.A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed
practical/vocational nurse, "Where should I look for information that instructs me about
what I need to do medically to be prepared for such a trip?" Which is the
nurse's best response? - "The Centers for Disease Control and Prevention (CDC)
provides up-to-date immunization requirements for travel to various countries outside of
the United States."
.A client who has a history of multiple myeloma visits the nurse at his family physician's
office. The client has been treated for the past several years by an oncologist. He has
found his experiences within the health care system to be emotionally challenging,
trying to understand the health maintenance organization (HMO), and why he received
a letter from the HMO stating his oncologist is no longer in the network, and asked him
to choose another oncologist, and what can he do to continue the oral chemotherapy
that insurance stated is no longer formulary because
the price would be unbearable. What best next action should the nurse take to help the
client? - Instruct the client that the HMO contracts with physicians and services, and the
client may need to contact his oncologist's office and find out
what recommendations they may have for the situation and the need for the medication.
.A highly experienced licensed practical nurse (LPN) has provided care on an acute
medical unit for several years. A registered nurse (RN) who is new on the unit has
asked the LPN to flush a client's central venous catheter (CVC), a task that is outside of
the LPN's scope of practice but one that he has often witnessed and feels confident in
doing safely. How should the LPN respond to the RN's request? - Inform the RN that he
cannot flush the CVC because it is outside of his scope of practice
, .A licensed practical nurse (LPN) has recently begun working in a nursing home that
uses the functional nursing model. The nurse recognizes that each part of the nursing
team has a specific function or task to complete. The LPN was assigned to change all
of the dressings on the wing. While caring for a client requiring a large wet-to-dry
dressing change to debride the infected wound, the LPN noted that the client was
screaming in pain when she removed the old dressing, and the wound looked worse
than it did the other day. Which actions should the LPN provide next? - Ask the
medication nurse to provide pain medication before completing the dressing.
.A licensed practical nurse (LPN) has recently graduated from nursing school, passed
the NCLEX-PN, and secured employment at a long-term care facility. At the facility, the
nurse will be providing care along with several unlicensed assistive personnel (UAP).
Which task may be delegated to UAP by the LPN? - Only tasks that the UAP is capable
to safely perform
.A licensed practical nurse has recently begun working in a new setting and has been
informed by the unit manager that she will be responsible for admitting a client who will
soon be arriving on the unit. The nurse is unsure of the specific admission process that
is used on the unit and was not responsible for admissions in her previous nursing role.
How should the nurse respond to the manager's directive? - Ask the manager for further
teaching and training about the admission process on the unit
.A licensed practical nurse is aware that the costs associated with health care have
been rising steadily and are predicted to continue to rise for the foreseeable future.
Which reason for these rising costs is most significant? - The large baby boomer
population is graying, and aging brings an increase in chronic diseases, which
increases health costs, and Medicare funds are depleting and may not be able to
handle the growing older population.
.A licensed practical nurse provides care on a postsurgical unit of a large, urban
hospital. The nurse is aware that nursing documentation about clients is used in the
administration of the prospective payment system (PPS) that applies to many clients'
care. How would the principles of the PPS relate to client care? - PPS is used to
determine clients' health care costs before they receive
care.
.A licensed practical/vocational nurse has a cochlear implant and was instructed to not
go inside or around magnetic resonance imaging (MRI). While working for an agency at
a local hospital, the nurse was assigned a client on a telemetry monitor who developed
neurological symptoms and needed an MRI. The telemetry unit required the nurse to
stay with the client during diagnostic testing to monitor the electrocardiogram and
provide emergency interventions, if needed. The best action the nurse should take is to:
- inform the charge nurse that he has a cochlear implant, and ask if there is someone
that can stay with the client during the MRI.
will need to have hip replacement surgery. The woman is having difficulty navigating the
complexity of the health care system, but wishes to maximize her health outcomes.
Who would be most helpful in assisting the woman? - A coordinated care manager
.A 76-year-old client is being treated in hospital for pneumonia and his discharge
planning is in progress. The client had been living with his son and daughter-in-law, but
they have expressed to the care team that this will no longer be the case. The client,
however, is unable to live independently due to a number of chronic health problems.
What member of the care team would be most able to assist the client with
organizing his living situation? - Social worker
.A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed
practical/vocational nurse, "Where should I look for information that instructs me about
what I need to do medically to be prepared for such a trip?" Which is the
nurse's best response? - "The Centers for Disease Control and Prevention (CDC)
provides up-to-date immunization requirements for travel to various countries outside of
the United States."
.A client who has a history of multiple myeloma visits the nurse at his family physician's
office. The client has been treated for the past several years by an oncologist. He has
found his experiences within the health care system to be emotionally challenging,
trying to understand the health maintenance organization (HMO), and why he received
a letter from the HMO stating his oncologist is no longer in the network, and asked him
to choose another oncologist, and what can he do to continue the oral chemotherapy
that insurance stated is no longer formulary because
the price would be unbearable. What best next action should the nurse take to help the
client? - Instruct the client that the HMO contracts with physicians and services, and the
client may need to contact his oncologist's office and find out
what recommendations they may have for the situation and the need for the medication.
.A highly experienced licensed practical nurse (LPN) has provided care on an acute
medical unit for several years. A registered nurse (RN) who is new on the unit has
asked the LPN to flush a client's central venous catheter (CVC), a task that is outside of
the LPN's scope of practice but one that he has often witnessed and feels confident in
doing safely. How should the LPN respond to the RN's request? - Inform the RN that he
cannot flush the CVC because it is outside of his scope of practice
, .A licensed practical nurse (LPN) has recently begun working in a nursing home that
uses the functional nursing model. The nurse recognizes that each part of the nursing
team has a specific function or task to complete. The LPN was assigned to change all
of the dressings on the wing. While caring for a client requiring a large wet-to-dry
dressing change to debride the infected wound, the LPN noted that the client was
screaming in pain when she removed the old dressing, and the wound looked worse
than it did the other day. Which actions should the LPN provide next? - Ask the
medication nurse to provide pain medication before completing the dressing.
.A licensed practical nurse (LPN) has recently graduated from nursing school, passed
the NCLEX-PN, and secured employment at a long-term care facility. At the facility, the
nurse will be providing care along with several unlicensed assistive personnel (UAP).
Which task may be delegated to UAP by the LPN? - Only tasks that the UAP is capable
to safely perform
.A licensed practical nurse has recently begun working in a new setting and has been
informed by the unit manager that she will be responsible for admitting a client who will
soon be arriving on the unit. The nurse is unsure of the specific admission process that
is used on the unit and was not responsible for admissions in her previous nursing role.
How should the nurse respond to the manager's directive? - Ask the manager for further
teaching and training about the admission process on the unit
.A licensed practical nurse is aware that the costs associated with health care have
been rising steadily and are predicted to continue to rise for the foreseeable future.
Which reason for these rising costs is most significant? - The large baby boomer
population is graying, and aging brings an increase in chronic diseases, which
increases health costs, and Medicare funds are depleting and may not be able to
handle the growing older population.
.A licensed practical nurse provides care on a postsurgical unit of a large, urban
hospital. The nurse is aware that nursing documentation about clients is used in the
administration of the prospective payment system (PPS) that applies to many clients'
care. How would the principles of the PPS relate to client care? - PPS is used to
determine clients' health care costs before they receive
care.
.A licensed practical/vocational nurse has a cochlear implant and was instructed to not
go inside or around magnetic resonance imaging (MRI). While working for an agency at
a local hospital, the nurse was assigned a client on a telemetry monitor who developed
neurological symptoms and needed an MRI. The telemetry unit required the nurse to
stay with the client during diagnostic testing to monitor the electrocardiogram and
provide emergency interventions, if needed. The best action the nurse should take is to:
- inform the charge nurse that he has a cochlear implant, and ask if there is someone
that can stay with the client during the MRI.
