Deck 51: Ambulatory, Restorative, and Palliative Care in Community Settings

Question 1

The nurse employed at an extended-care facilities is aware that which of the following conditions are MOST likely to contribute to a decline in functional abilities?

A)influenza and urinary tract infections
B)pneumonia and renal stones
C)pneumonia and urinary tract infections
D)upper respiratory infections and constipation

Answer 1

pneumonia and urinary tract infections

Question 2

The criteria for a client to be admitted to a restorative care program is:

A)mentally stable,able to learn,able to sit supported for at least 1 hour
B)medically stable,able to learn,able to sit supported for at least 1 hour
C)mentally stable,able to learn,willing to participate
D)medically stable,unable to perform activities of daily living (ADLs),willing to participate

Answer 2

medically stable,able to learn,able to sit supported for at least 1 hour

Question 3

According to the Self-Identification of Handicap form,which of the following BEST describes the term handicap?

A)an abnormal psychological or physiologic behavior or an anatomic loss,such as a limb
B)the physical or mental inability to complete a role in one or more major activities of daily living (ADLs)
C)the lack of ability to complete an activity in the normal manner
D)an abnormal psychological or physiologic behavior causing an inability to complete normal ADLs

Answer 3

the physical or mental inability to complete a role in one or more major activities of daily living (ADLs)

Question 4

The nurse is caring for a client on a rehabilitation unit.Which of the following is an appropriate restorative care goal for the client?

A)the client will have restored health
B)the client will return home after 2 weeks of therapy
C)the client will restore only activities of daily living
D)the client will reach optimal functional level

Question 5

When caring for a client in the home setting,the LP/VN would MOST likely perform which of the following skills?

A)respiratory therapy treatments
B)providing speech therapy
C)evaluating the nursing care plan
D)administer medications and provide client teaching

Question 6

Which of the following are benefits of urgent care centers? (Select all that apply. )

A)easily gained appointments
B)fast paced,similar to a hospital emergency department
C)provides care for clients with severe trauma
D)serves the needs of a growing community
E)accepts all forms of insurance
F)is designed to treat acute illnesses and injuries

Question 7

Which of the following clients would MOST likely benefit for rehabilitation/restorative care services?

A)35-year-old client with H1N1 influenza
B)58-year-old client with end-stage renal disease (ESRD)
C)79-year-old client with advanced dementia
D)62-year-old client with left side paralysis resulting from a stroke

Question 8

When performing the Functional Independence Measure (FIM),the nurse is aware the purpose of this tool is to:

A)assess the physical and psychosocial abilities in relation to the amount of assistance needed to complete activities of daily living (ADLs)
B)assess the cognitive and psychosocial abilities in relation to the amount of assistance needed to complete ADLs
C)assess the cognitive and motor function in relation to the amount of assistance needed to complete ADLs
D)assess the motor function and physical abilities in relation to the amount of assistance needed to complete ADLs

Question 9

The function of the interdisciplinary health care team is to:

A)assess,maintain,and evaluate the abilities of clients upon completion of therapy
B)provide care and evaluate the abilities of clients in need of functional therapy
C)evaluate the effectiveness of treatment of clients in functional therapy
D)assess and provide care for the clients in need of functional therapy

Question 10

The nurse is aware the term minimum data set refers to:

A)a computerized plan of care the Centers for Medicare and Medicaid Services has developed that is compatible with the facility's electronic charting system
B)an assessment tool of the client's physical,psychological,and psychosocial functioning in a Medicare or Medicaid-certified facility
C)an outcome and assessment information set of the client's results and compares their outcomes and client satisfaction for a Medicare or Medicaid-certified facility
D)an assessment tool of the client's that measures the impairment,disability,and handicap and documents a client's disability and medical rehabilitation in a Medicare or Medicaid-certified facility

Question 11

When caring for a client in the home care setting,the nurse notes the client's decline in ability to care for self and home environment.Which of the following would the nurse discuss with the client as a possible option for continued care?

A)long-term health care center
B)respite care
C)assisted living
D)home health care

Question 12

When choosing housing for the older adult,which of the following is the main factor for determining the needs?

A)dietary needs of the client
B)types of activity programs available
C)facility's floor plan
D)functional perimeters

Question 13

A client has a diagnosis of advanced chronic obstructive pulmonary disease (COPD).Which of the following care settings would be MOST appropriate for this client?

A)respite care
B)long term care
C)palliative care
D)home health care

Question 14

When providing client teaching in the ambulatory care setting,the nurse customizes education to the client's:

A)gender,educational level,and cognitive status
B)culture,educational level,and socioeconomic status
C)age,socioeconomic status,and availability
D)age,educational level,and health status

Question 15

Which of the following are examples of ambulatory care settings? (Select all that apply. )

A)hospitals
B)urgent care centers
C)dentist offices
D)emergency rooms
E)family practice clinics
F) surgical centers

Question 16

Which of the following is the priority nursing intervention for a client at risk for impaired integumentary needs?

A)order a pressure-relieving device
B)frequent repositioning
C)request an order from the physician for skin protection creams
D)request an order from the physician for a special air-fluidized bed

Question 17

A family member is caring for a client with advanced Alzheimer's and is complaining of fatigue,weakness,and apathy.The nurse recognizes the need for which of the following:

A)restorative care
B)rehabilitative care
C)respite care
D)placement in long-term care

Question 18

A client has a diagnosis of lung cancer with metastasis to the brain.Which of the following care settings would be MOST appropriate for this client?

A)hospice care
B)long term care
C)palliative care
D)home health care

Question 19

The nurse is aware that one main reason for alternative care settings in today's health care arena is:

A)changes in health care treatments
B)changes in reimbursement rates
C)decline in number of physicians
D)decline in hospital rates

Question 20

When caring for a client experiencing social isolation,which is the MOST appropriate nursing intervention?

A)provide distractional activities such as television
B)encourage client to participate in facility activities
C)request a consultation with a psychiatrist
D)allow the client to remain in his or her room

Question 21

The nurse is aware that which of the following are reportable conditions? (Select all that apply. )

A)client abandonment
B)drug abuse
C)suspected abuse or neglect
D)sexually transmitted disease
E)many contagious illnesses

Question 22

Which of the following are sources that can assist in covering the cost of extended care? (Select all that apply. )

A)Medicare and Medicaid
B)state funds
C)supplemental security income
D)client's savings
E)long-term care insurance

Question 23

Which of the following hospice services are covered by Medicare? (Select all that apply. )

A)physician and nursing care
B)dental care
C)counseling services
D)medical equipment and supplies
E)housekeeping services

Question 24

The role of the LP/VN as a member of the interdisciplinary health care team includes which of the following? (Select all that apply. )

A)participates in the planning of care
B)understands the roles and responsibilities of each discipline
C)is an advocate for the client's needs
D)teaches prosthesis care
E)provides appropriate diet to meet client's needs

Question 25

Which of the following are outcomes of holistic gerontological nursing? (Select all that apply. )

A)enhance the growth to wholeness
B)encourage improvement and learning from a disease
C)optimize the quality of life
D)provide adequate care
E)ensure comfort and dignity in death