Chapter 51 Ambulatory, Restorative, and Palliative Care in Community Settings

Chapter 51  Ambulatory, Restorative, and Palliative Care in Community Settings

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. 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
c.
decline in number of physicians
b.
changes in reimbursement rates
d.
decline in hospital rates

ANS: B
Providing care outside of the hospital setting is less costly for clients, their employers, and their insurers. Changes in health care policies and reimbursement rates over the past decade have resulted in shorter hospital stays.

PTS: 1 DIF: Knowledge REF: White (2010)

2. 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

ANS: D
The nurse customizes education to the client’s age, educational level, and health status in the ambulatory care setting to ensure compliance.

PTS: 1 DIF: Comprehension REF: White (2010)

3. 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

ANS: D
Clients who would benefit from rehabilitation/restorative care services are those most likely to have areas in need of improvement. The 62-year-old client with left-side paralysis resulting from a stroke will have needs in many areas such as speech, strengthening, ambulation, and safety issues.

PTS: 1 DIF: Comprehension REF: White (2010)

4. 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

ANS: D
The responsibilities of the LP/VN varies among home health agencies as well as among states. One of the main tasks of the LP/VN is to administer medications and provide client teaching. Evaluation of the nursing care plan is performed by the RN; respiratory therapy treatments and providing speech therapy are no part of the scope of nursing practice.

PTS: 1 DIF: Comprehension REF: White (2010)

5. 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
c.
facility’s floor plan
b.
types of activity programs available
d.
functional perimeters

ANS: D
The client’s functional abilities determine the needed level of care, which determines the most appropriate type of housing.

PTS: 1 DIF: Comprehension REF: White (2010)