Chapter 9 Care Coordination and Continuity

Chapter 9  Care Coordination and Continuity

Complete Chapter Questions And Answers
 

Sample Questions

1.
A client asks a nurse, “How does ergotamine (Ergostat) relieve migraine headaches?” The nurse should respond that it:
A)
dilates cerebral blood vessels.
B)
constricts cerebral blood vessels.
C)
decreases peripheral vascular resistance.
D)
decreases the stimulation of baroreceptors.
Ans:
B

Feedback:

Ergotamine relieves migraine headaches by constricting, not dilating, cerebral arterial vessels. The drug’s ability to prevent norepinephrine reuptake may add to this effect. The net result is decreased pulsatile blood flow through the cerebral vessels and symptom relief. Ergotamine doesn’t decrease peripheral vascular resistance or stimulation of baroreceptors.

2.
What role will the nurse play in transferring a client to a long-term care facility?
A)
Provide a verbal report to the nurse at the long-term care facility on the client, the hospital care, and the client’s current condition.
B)
Assure that the client’s original chart accompanies the client.
C)
Arrange for the client’s belongings to remain at the hospital until discharge from the long-term care facility.
D)
Inform the client that transferring should be a stress-free situation.
Ans:
A

Feedback:

The nurse at the hospital will provide a verbal report to the nurse at the long-term facility. The client’s belongings will accompany the client to the long-term facility, and the nurse should assure that this occurs. The original chart will not accompany the client, but copies of the chart or sections of the chart may be sent based upon agency protocols. The nurse should also recognize and inform the client that while a transfer may be a welcome event, it also can be stressful.

3.
The nurse recognizes that the goals established for a client’s discharge are more likely to be accomplished when …
A)
the client assists in developing the goals.
B)
the physician develops the goals.
C)
the nurse develops the goals.
D)
the multidisciplinary team develops the goals.
Ans:
A

Feedback:

If the client is involved in establishing the goals, it is more likely that the expected outcomes of the discharge plan will be met. The client may fail to follow the plan if the goals are not mutually agreed on, or are not based on a complete assessment of the client’s needs.

4.
Which of the following phrases best describes continuity of care?
A)
Focusing on acute care in the hospital
B)
Serving the needs of children
C)
Facilitating transition between settings
D)
Providing single-episode care services
Ans:
C

Feedback:

Continuity of care is a process by which health care providers give appropriate uninterrupted care and facilitate the client’s transition between different settings and levels of care. The other choices do not describe continuity of care.

5.
Which of the following nursing diagnoses would be appropriate for almost all clients entering a health care setting?
A)
Impaired Elimination
B)
Dysfunctional Grieving
C)
Fatigue
D)
Anxiety
Ans:
D

Feedback:

Entering and leaving a health care setting, as well as receiving care at home, are experiences that produce anxiety for both clients and family members. Most clients entering a health care setting do not have impaired elimination, dysfunctional grieving, or fatigue.