ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 2 : Settings and Models for Nursing Care Questions
Question 1 of 5
A client is living in congregate housing and expresses disliking living there to the LPN. When the nurse asks what is making the client unhappy, the client states, 'It is a nice place but I am unable to do anything because I hardly have money for my medicines or food.' What is an issue related to congregate housing?
Correct Answer: B
Rationale: Congregate housing is affordable, but residents may not have any other resources to purchase extra services or goods. They are assured of appropriate housing but may lack the resources, ability, or opportunity to participate in outside activities.
Question 2 of 5
A client who is mentally disabled is working at an adult activity center. The client is unable to live independently, and the family member they are living with can no longer assist with supervised care. What option for living arrangements would be ideal for this person?
Correct Answer: B
Rationale: Boarding homes usually are small homes with individual rooms where residents pay for room and board and minimal nursing services. Residents often share rooms, have a common dining area for all meals, and also oversee employment for disabled adults and provide a stable environment for those who cannot live independently. Congregate housing provides independent living for seniors or disabled adults who need minimal to no assistance. Long-term care facilities are for clients who require long-term wound care or ventilator support or who have other conditions that are potentially unstable but do not have rapid changes. Acute care facilities are for those clients who are of high illness acuity.
Question 3 of 5
A home care nurse provides care to a client three times a week. The client's family member lives in the home and is employed full time. The family member believes that the client would benefit greatly from care 24 hours a day but wants the client to remain at home. Which is the best action for the nurse to take to meet the family member's goal and to ensure the client receives the care required?
Correct Answer: A
Rationale: The best action for the nurse to take to ensure the client receives needed care and to meet the family member's goals for the client is to advocate for the family to receive whatever additional services are required. A skilled nursing facility will provide 24-hour care for the client and will assist in ADLs but will not allow the client to remain at home as the family member wants. An adult day care center allows the client to remain at home but does not provide 24-hour care and can only assist with ADLs during the time frame the client is at the center. Teaching the family member to perform procedures, administer medications, and provide other care would not be the best options because the family member is employed full-time.
Question 4 of 5
The LPN has been assigned to a medical floor and to do all of the dressing changes and other treatments. The RN will make the rounds with the physicians, transcribe orders, and administer all of the IV medications. Another LPN will administer medications. What type of nursing is this group providing?
Correct Answer: C
Rationale: Functional nursing is a task-oriented method, and distinct duties are assigned to specific personnel.
Total client care refers to assignments in which a nurse assumes all the care for a small group of clients. In team nursing, teams made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants provide care to a group of clients. Primary care nursing is when the RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift.
Question 5 of 5
The LPN is part of a group of nurses that has an RN team leader as well as another LPN and two nursing assistants who will be providing care to a group of clients. What type of nursing method is this considered?
Correct Answer: D
Rationale: Team nursing is composed of an RN team leader, other RNs, LPN/LVNs, and nursing assistants who provide care to a group of clients. Functional nursing is a task-oriented method where everyone in the group is assigned to specific tasks. Case method is the same as private duty nursing.
Total client care refers to assignments in which a nurse assumes all the care for a small group of clients.