Deck 96: Rehabilitation Nursing

Question 1

The nurse is researching the continuum of lifestyle options for clients being discharged from an acute healthcare facility. Which client would be the most likely to be interested in this service?

A) A homeless woman who has two children.
B) A teenager who experienced a paralyzing spinal cord injury.
C) A 70-year-old client who is unable to live independently at home.
D) An orphan who is diagnosed with cerebral palsy.

Answer 1

A 70-year-old client who is unable to live independently at home.

Question 2

A nurse is caring for a client who has been admitted to the hospital. Which service is a priority for a nurse in the acute hospital setting?

A) Helping clients with rehabilitation after a stroke
B) Working closely with the client's caregivers
C) Helping clients to achieve maximum level of functioning
D) Working to stabilize the client during the acute phase of illness

Answer 2

Working to stabilize the client during the acute phase of illness

Question 3

The nurse is working in an extended-care facility. Which is a characteristic of this type of nursing?

A) There is a lower level of skill needed.
B) It enables the nurse to practice total nursing care.
C) The nurse does not work with the client's family.
D) Extended-care nursing opportunities are decreasing.

Answer 3

It enables the nurse to practice total nursing care.

Question 4

The nurse is caring for clients in an extended-care facility. Which healthcare facilities belong in this category? Select all that apply.

A) Skilled nursing facilities
B) Subacute-care facilities
C) Medically complex care facilities
D) Long-term rehabilitation units
E) Hospitals
F) Community healthcare clinics

Question 5

Which client would most likely qualify for subacute care under Medicare regulations?

A) A client who is recovering from a stroke
B) A client who has Alzheimer disease
C) A client who is having surgery to excise a tumor
D) A client who is on hospice for end-stage cancer

Question 6

A nurse is caring for a client admitted to a subacute-care facility. For how long does a client generally undergo treatment in a subacute-care facility?

A) 1 to 4 days
B) 1 to 4 weeks
C) 1 to 4 months
D) 1 to 4 years

Question 7

A nurse is caring for clients in a subacute-care facility. For which client would this nurse most likely care?

A) Clients who do not require hospitalization
B) Clients recovering from extensive surgery
C) Clients who require long-term physical rehabilitation
D) Clients who are mentally challenged

Question 8

A nurse is caring for a client recovering from a stroke at a subacute-care facility. Which intervention is most appropriate for this client?

A) Intravenous therapy
B) Therapeutic recreation
C) Reminiscence therapy
D) Physical rehabilitation

Question 9

The nurse is caring for a client who is recovering from severe burns over two thirds of his body. The client is stable, but needs specialized wound care. In which facility would this client most likely be placed?

A) Subacute-care facility
B) Short-term rehabilitation unit
C) Long-term care facility
D) Medically complex care unit

Question 10

Which is a characteristic of a skilled nursing facility (SNF)?

A) The facility does not provide rehabilitation services.
B) The primary care or "medical oversight" is usually provided by a physician.
C) Physicians are on call and provide supervision to the advance practice nurse.
D) Clients in an SNF plan to live there the rest of their lives.

Question 11

What information should the nurse provide the client considering admission to an intermediate care facility (ICF)?

A) Employs unlicensed assistants to provide care
B) Provides basic care with a nurse on call
C) Provides rehabilitation services to clients
D) Ensures assistance with social services

Question 12

A nurse is caring for a client at the long-term care (LTC) facility. What information should the nurse provide the client about the meal program there?

A) An ombudsperson oversees the client's dietary intake.
B) The case manager selects the client's meal program.
C) Residents can select the meal program they prefer.
D) A nurse practitioner oversees the client's dietary intake.

Question 13

The nurse is explaining the services provided in a long-term care (LTC) facility to the family of an older adult client being transferred there. Which service would the nurse state as being a requirement in LTC facilities?

A) Recreation program
B) Chaplain
C) Swimming pool/whirlpool
D) Full healthcare clinic

Question 14

The nurse is caring for clients in a long-term care facility. Care for which condition would not be reimbursed if it occurs while the client is in the facility?

A) Pneumonia
B) Respiratory distress
C) Gastrointestinal alterations
D) Pressure wounds

Question 15

A client states that he was physically abused by another client in a long-term care facility. Which intervention should the nurse initiate for the client who reported being abused?

A) Refer the client to the nursing director.
B) Encourage the client to meet with his case manager.
C) Ask the client to meet with the ombudsperson.
D) Arrange for the client to contact social services.

Question 16

Most clients in healthcare facilities are protected by law from abuse or neglect. What is the legal term used to describe clients in a nursing home?

A) Vulnerable adults
B) Ombudspersons
C) Dependent seniors
D) Wards of the state

Question 17

The ombudsperson is explaining to the family of a client how payment for long-term care is determined. Which statement is true of this payment system?

A) Medicare pays for all long-term care.
B) Private insurance may cover all or part of the cost.
C) Coverage with Medicaid is the same from state to state.
D) With Medicaid, clients must exhaust private insurance, but not financial resources.

Question 18

The nurse providing care in a long-term care facility knows that under Medicare's Pay for Performance (P4P) a facility's reimbursement is based on quality of care provided. This is based on how well the facility performs on pre-established quality measures. Publicly reported quality measures (PRQM) include the percentage of residents with which conditions? Select all that apply

A) Respiratory infection
B) Moderate to severe pain
C) Pressure wounds
D) Malnutrition
E) Physical restrained
F) Worsening depression

Question 19

Under a Medicare program called "Pay for Performance" (P4P), a facility's reimbursement is based on quality of care provided. On which quality measure is emphasis being placed?

A) Nosocomial infections
B) Fall prevention
C) Fire safety
D) Hospital readmission

Question 20

Each state, U.S. territory, and the District of Columbia must have a quality improvement network (QIN) contracted with Centers for Medicare/Medicaid Services (CMS) to provide support and oversight to long-term care (LTC) facilities. Which are functions of quality improvement organizations? Select all that apply.

A) Staff development
B) Monitoring techniques and intervention strategies
C) Quality improvement for facility manager
D) Training non-licensed personnel
E) Informing clients of their rights
F) Providing advance degree nursing courses

Question 21

Every client in a long-term care (LTC) facility has a case manager (CM). Which are functions of this position? Select all that apply.

A) Act as the client's payee
B) Act as a client advocate
C) Provide direct nursing care for the client
D) Oversee the client's care
E) Disperse funds from the client's monthly check
F) Evaluate the client's money skills

Question 22

A nurse is informing a client at a long-term care (LTC) facility regarding Centers of Excellence (COE) programs. What information should the nurse provide the client regarding the COE programs?

A) Imparts care only to clients with mental illness
B) Offers financial support for clients at the LTC facility
C) Assists in improving the quality of care at the LTC facility
D) Provides care for clients with specific disorders

Question 23

A nurse is caring for a client with Alzheimer disease in an extended-care facility. What safety measures would be best implemented for the client who attempts to get out of bed?

A) A call bell close to the client's bed
B) A special armband alarm device
C) A leather restraint tied to the client's arm
D) A buzzer located under the mattress

Question 24

A client diagnosed with mild dementia who lives in a board-and-care-home is getting more confused and needs more care. Which would be the next level of housing appropriate for this client?

A) Supervised group home
B) Congregate housing
C) Senior apartment complex
D) Hospice care

Question 25

An older adult client wants to move into a congregate housing facility. What information should the nurse provide regarding congregate housing?

A) Personnel from the facility will check on each client daily.
B) Clients at this facility are supervised in all activities.
C) Clients spend only part of their day in this facility.
D) Only clients with disabilities can use this facility.

Question 26

A nurse is recommending a state-assisted living facility to an older adult client who cannot afford private assisted living. Which is a requirement for this type of housing?

A) Being eligible for Medicaid
B) Being diagnosed with at least one chronic illness
C) Having received a certificate of need
D) Being currently enrolled for private insurance

Question 27

What is the term for the movement clients make between healthcare practitioners and settings as their conditions and care needs change during a course of acute or chronic illness?

A) Handover care
B) Transitional care
C) Universal transfer
D) SBAR process

Question 28

The nurse meticulously prepares a universal transfer form for a client moving from the hospital to a long-term care setting in order to protect the client from rehospitalization. Which condition presents the highest rate for rehospitalization?

A) Cardiovascular alterations
B) Infections
C) Fractures
D) Respiratory issues

Question 29

The nurse is performing discharge planning for a client transferred to an extended-care facility using the SBAR process. What are the key components of the SBAR acronym? Select all that apply.

A) Situation
B) Background
C) Analysis
D) Assessment
E) Recommendations
F) Referrals