Chapter 02: Nursing in Varied Patient Care Settings

Chapter 02: Nursing in Varied Patient Care Settings

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. While a home health nurse is making the entry to a service assessment on a home-bound 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?

ANS:  C

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.

DIF:    Cognitive Level: Application           REF:   p. 18               OBJ:   3

TOP:   Medicare Coverage for Home Health

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

2. 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. What is the nurse’s most appropriate response?

ANS:  B

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, physical therapist, or speech therapist must exist.

DIF:    Cognitive Level: Analysis                REF:   p. 19               OBJ:   9

TOP:   Placement Qualifications for Skilled Nursing Facility

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment

3. A 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 should analyze this relocation response as

ANS:  B

Social withdrawal is a frequent response to relocation.

DIF:    Cognitive Level: Application           REF:   p. 27               OBJ:   10

TOP:   Relocation Response                       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

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?

ANS:  D

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

DIF:    Cognitive Level: Comprehension     REF:   p. 21               OBJ:   4

TOP:   Rehabilitation Goals                        KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Coordinated Care