Question 1

From what do most quality-of-care problems in home health care result? (Select all that apply.)

Accepted Answer

A)  Patient's noncompliance 
B)  Family's reluctance to participate in the care 
C)  Inadequate documentation 
D)  Limited funding 
E)  Defective communication among care team members 
A)  Patient's noncompliance 
B)  Family's reluctance to participate in the care 
C)  Inadequate documentation 
D)  Limited funding 
E)  Defective communication among care team members

Question 2

A patient with multiple sclerosis must be fed, bathed, and dressed.How should the nurse assess this patient?

Accepted Answer

A)  Disabled 
B)  Disadvantaged 
C)  Handicapped 
D)  Impaired 
A)  Disabled 
B)  Disadvantaged 
C)  Handicapped 
D)  Impaired

Question 3

A nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization.What is an example of autonomy?

Accepted Answer

A)  Selection of medication times 
B)  Availability of his own small electrical appliances 
C)  Smoking in the privacy of his own room 
D)  Application of advance directives 
A)  Selection of medication times 
B)  Availability of his own small electrical appliances 
C)  Smoking in the privacy of his own room 
D)  Application of advance directives

Question 4

A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means.What statement made by the patient indicates a correct understanding?

Accepted Answer

A)  "I will return to my previous level of functioning." 
B)  "I will be counseled into a new career." 
C)  "I will develop better coping skills to accept his disability." 
D)  "I will attain the greatest degree of independence possible." 
A)  "I will return to my previous level of functioning." 
B)  "I will be counseled into a new career." 
C)  "I will develop better coping skills to accept his disability." 
D)  "I will attain the greatest degree of independence possible."

Question 5

While a home health nurse is making the entry to a service assessment on a homebound patient, the spouse of the patient asks whether Medicare will cover the patient's ventilator therapy and insulin injections.What is the best response by the nurse?

Accepted Answer

A)  "Yes, Medicare will cover both the ventilator therapy and the insulin injections." 
B)  "No, Medicare will not cover either of these ongoing therapies." 
C)  "Medicare will cover the ventilator therapy, but it does not cover the insulin injections." 
D)  "Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill such as ventilator therapy." 
A)  "Yes, Medicare will cover both the ventilator therapy and the insulin injections." 
B)  "No, Medicare will not cover either of these ongoing therapies." 
C)  "Medicare will cover the ventilator therapy, but it does not cover the insulin injections." 
D)  "Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill such as ventilator therapy."

Question 6

The nursing care plan in a long-term care facility calls for the documentation of regressive behavior of a newly admitted 82-year-old resident who has had congestive heart failure and osteoarthritis.Of these behaviors observed by the nurse, which should be documented as regression? (Select all that apply.)

Accepted Answer

A)  Talks nonstop to staff and other residents. 
B)  Wets and soils self several times a day. 
C)  Wakes in the middle of the night and is unable to return to sleep. 
D)  Wears the same clothes day after day. 
E)  Cries frequently for no apparent reason. 
A)  Talks nonstop to staff and other residents. 
B)  Wets and soils self several times a day. 
C)  Wakes in the middle of the night and is unable to return to sleep. 
D)  Wears the same clothes day after day. 
E)  Cries frequently for no apparent reason.

Exam 2: Medical-Surgical Practice Settings

From what do most quality-of-care problems in home health care result? (Select all that apply.)

A patient with multiple sclerosis must be fed, bathed, and dressed.How should the nurse assess this patient?

A nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization.What is an example of autonomy?

A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means.What statement made by the patient indicates a correct understanding?

While a home health nurse is making the entry to a service assessment on a homebound patient, the spouse of the patient asks whether Medicare will cover the patient's ventilator therapy and insulin injections.What is the best response by the nurse?

Aspects of Medical-Surgical Nursing

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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