Deck 6: Arenas of Care

Question 1

Rehabilitation goals for clients focus on preventing complications,increasing independence,and:

A)returning the client to the previous place of employment
B)modifying the effects of the disability
C)assessing family dynamics
D)restoring health and function to the pre-injury or pre-illness level

Answer 1

modifying the effects of the disability

Question 2

The following processes assure the health care consumer that a facility or agency meets minimal standards of care.Which process indicates additional confirmation of quality and higher-than-minimum standards in the delivery of care?

A)accreditation
B)approval
C)certification
D)licensure

Answer 2

accreditation

Question 3

Which of these services are usually provided for clients in independent-living apartments?

A)help with ADLs
B)housekeeping services and meals
C)nursing care
D)rehabilitation activities

Answer 3

housekeeping services and meals

Question 4

In addition to providing care in traditional arenas such as health care providers' offices and acute care hospitals,nurses provide care in nonacute arenas of health care such as:

A)acupuncture clinics
B)suicide prevention services
C)emergency departments
D)long-term care facilities

Question 5

Long-term care facilities provide services to individuals who are not acutely ill and:

A)have no one to care for them
B)cannot function independently at home
C)have intermittent health care needs
D)have at least two or more chronic illnesses

Question 6

When a specified state agency annually sends a team of surveyors to visit facilities and determine if they are in compliance with the rules and regulations of the state,the process is called:

A)accreditation
B)approval
C)certification
D)licensure

Question 7

Purposes of the interdisciplinary health care team (IHCT)include identification of the client's physical,mental,and psychosocial needs and:

A)building skills in individual disciplines represented
B)sharing expenses for the services rendered
C)increasing the number of disciplines involved in care
D)coordinating health care services to prevent fragmentation of care

Question 8

When caring for a client,the primary focus of the interdisciplinary health care team (IHCT)is on the:

A)client and family
B)nursing staff
C)health care provider(s)
D)physical and occupational therapist

Question 9

A friend is the sole caregiver for a 95-year-old parent.The friend is an only child,and you observe the friend needs some relief.To which of these services would you refer the friend?

A)assisted-living housing
B)foster care
C)hospice care
D)respite care

Question 10

Which of the following activities would be classified as an instrumental activity of daily living (IADL)?

A)dressing
B)driving a car
C)mobility
D)toileting

Question 11

The rehabilitation nurse must have outstanding intervention skills in areas such as ambulation,transfers,and:

A)occupational retraining for job skills
B)therapeutic positioning
C)treating contractures
D)pain management

Question 12

An LP/VN who is considering work in a hospice should know that a primary feature of this care arena is its:

A)recognition that dying is a normal process
B)focus on providing aggressive end-of-life care
C)physician-dominated environment
D)strong staff development program

Question 13

The nurse needs to be aware that the legal basis for providing care in long-term care facilities is found in the Omnibus Budget Reconciliation Act (OBRA)of 1987.In addition,which of the following are also federal regulations of which the nurse must be aware? (Select all that apply. )

A)Self-Determination Act of 1990
B)Insurance Reform Act
C)state regulations regarding the reporting of client abuse
D)OBRA

Question 14

For a new LP/VN graduate,which of these arenas of care offers the MOST opportunities for initial employment?

A)hospice
B)long-term care facility
C)diagnostic services unit
D)general nursing unit in an acute care hospital

Question 15

Nurses working in home health care must have all of the following skills and abilities.Which of these forms the foundation for all others?

A)ability to conduct ongoing client and family teaching
B)ability to work with the family to meet the client's needs
C)excellent assessment skills and a keen ability to identify problems
D)excellent nursing skills and creativity

Question 16

The nurse is caring for a client in a non-acute care setting.Which of the following is considered a non-acute care setting? (Select all that apply. )

A)hospitals
B)long-term care facilities
C)skilled nursing facilities
D)subacute care facilities
E) emergency rooms

Question 17

For a client who has had a total knee replacement and requires additional therapy,which of these arenas would be MOST appropriate?

A)hospice
B)long-term care facility
C)subacute care unit
D)home

Question 18

Criteria for admission to a rehabilitation program usually requires that the client be medically stable and able to:

A)pay for the services
B)learn
C)sit supported for 4 hours a day
D)have bowel and bladder control

Question 19

The required process for any health care facility that chooses to be reimbursed by the government through Medicare or Medicaid funds is called:

A)accreditation
B)approval
C)certification
D)licensure