Question 1

A patient with multiple sclerosis must be fed,bathed,and dressed.The nurse assesses the patient to be:

Accepted Answer

Feeding oneself,dressing,and bathing are ADLs.The patient is impaired in this scenario.

Question 2

The nurse explains that the law that provides for a partially paralyzed fork-lift operator to be retrained by vocational rehabilitation services for less demanding office work is the:

Accepted Answer

The Rehabilitation Act of 1973 provided a comprehensive approach and expanded resources for public vocational training.

Question 3

The nurse explains that in 1990,when the Americans with Disabilities Act (ADA)was passed,it extended many services for the disabled persons such as:

Accepted Answer

The ADA of 1990 extended the previous legislative Acts of 1920,1935,and 1973.ADA now covers private sector individuals and public businesses in particular.

Question 4

Based on guidelines from the ADA,which question is an appropriate choice for the director of nurses to ask a nurse with an artificial leg who is applying for a staff position in an extended care facility?

Accepted Answer

Queries to disabled job applicants can be made relative to specific job functions,but they cannot be asked relative to the severity of the disability or the degree of disability in general.

Question 5

The 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.The nurse determines that the appropriate placement would be in a facility that features:

Accepted Answer

Domiciliary care provides room,board,and supervision; and residents may come and go as they please.Sheltered housing does not provide 24-hour care.

Question 6

The home health care nurse explains that although she performs all the following actions,the only one that is reimbursable under Medicare payment rules is to:

Accepted Answer

Medicare reimburses skilled techniques that are clearly spelled out; these include teaching but not return demonstration-type actions by patient or family.

Question 7

While the home health nurse is making the entry to a 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:

Accepted Answer

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.

Question 8

A frail patient in a long-term care facility asks the nurse if a bath is to be given this morning.The best reply by the nurse that would encourage independence and give the patient the most flexibility would be:

Accepted Answer

The resident should be provided as much flexibility as possible and support for independence.

Question 9

The nurse describes community health nursing by using the example of:

Accepted Answer

Community-based nursing looks at identified community needs and provides care at all levels of wellness and illness,whereas community health nursing seeks to provide services to groups to modify or create systems of care.

Question 10

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:

Accepted Answer

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 (RN),physical therapist,or speech therapist must exist.

Question 11

The nurse is making a list of the members of the rehabilitation team so that the different types of services available to patients may be taught to a group of families.Which of the following lists should be used?

Accepted Answer

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.)

Question 12

The 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.Because this loss has affected his quality of life and his ability to return to his previous employment,he would be classified as being disabled at level:

Accepted Answer

The patient is limited in the use of his right arm for feeding himself,dressing himself,and driving his car,which are three main activities of daily living (ADLs).He may be able to work if workplace modifications are made.

Question 13

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:

Accepted Answer

Social withdrawal is a frequent response to relocation.

Question 14

Home health nurses have some different nursing activities than those of community health nurses.Which of the following describes the home health nurse's activities?

Accepted Answer

The home health nurse works with individuals in the home; the other descriptors are community nurse activities.

Question 15

A computer programmer who lost both legs is being retained by his employer,who has made arrangements for a ramp and a special desk to accommodate the patient's wheelchair.This is an example of disability level:

Accepted Answer

Level II allows for workplace accommodation,which is the desk modification in this case.

Question 16

Which law initially provided for rehabilitation of disabled Americans?

Accepted Answer

The U.S.government has passed four pieces of legislation to identify and meet the needs of disabled individuals with each one being more inclusive.The first one was passed in 1920.

Question 17

When their grandmother was admitted to a long-term residential care facility,the family was assured by the admitting nurse that care,in keeping with the concepts of long-term care,would be based on:

Accepted Answer

Maintenance of function and encouraging autonomy and independence are some of the basic concepts of long-term care.

Question 18

As a home health nurse,the licensed practical nurse (LPN)is aware that the care skills that are safe and appropriate to teach family members are:

Accepted Answer

Insulin injections,instillation of eye drops,and small wound dressing changes are safe to teach a nonprofessional caregiver.Sterile dressings,venipunctures,and inserting Foley catheters are considered skilled,and the costs for these are reimbursed by Medicare.

Question 19

The nurse assures a 58-year-old with diabetes who is recuperating from a broken hip that funds for his rehabilitation are available from the:

Accepted Answer

The Rehabilitation Act of 1973 assists in paying for rehabilitation for those who are younger than 65 years of age and who will benefit from vocational rehabilitation through teaching.

Question 20

The nurse clarifies to a new patient in a rehabilitation center that rehabilitation means that the patient will:

Accepted Answer

The rehabilitation process works to promote independence at whatever level the patient is capable of achieving.

Quiz 2: Patient Care Settings