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 who is receiving respiratory support with a tracheostomy and mechanical ventilation after a stroke is being discharged from the acute care facility. Family members state that they will not be able to care for the client at home to provide the care that is required. What type of care may this client be a candidate for after discharge?
Correct Answer: A
Rationale: Clients who require ventilator support or who have other conditions that are potentially unstable but do not have rapid changes may receive care in a long-term acute care facility. Subacute care refers to care that is more intense than traditional long-term care but less intense than acute inpatient care. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible.
Question 2 of 5
A client is going to be in subacute care for approximately 30 days. The client will require frequent assessments and periodic review of the client's progress. What role will the registered nurse have in the care of this client?
Correct Answer: D
Rationale: RNs coordinate clients' care, and LPN/LVNs provide and oversee care provided by unlicensed connective personnel (UAPs). The RN does not generally provide the direct care, and this would include overseeing meals. It is beyond the scope of practice for RNs to order treatments and medications.
Question 3 of 5
An older adult client is being transferred to another facility in order to continue physical therapy after having a total right hip replacement. What type of facility will provide skilled nursing and rehabilitative care for this client who will go home after the rehabilitation?
Correct Answer: C
Rationale: Skilled nursing care facilities provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness. Acute care facilities are for clients who have a higher level of acuity. Long-term acute care 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. Intermediate care facilities provide care for people who cannot care for themselves because of mental or physical disabilities.
Question 4 of 5
An LPN just received a license to practice and applied for a position at a skilled nursing care facility. While being interviewed, the LPN asks what to expect from the role at the facility. What is the best answer by the interviewer?
Correct Answer: B
Rationale: An RN must be in charge of client's care, although other healthcare providers, particularly LPN/LVNs, participate in their care. Organizing and coordinating client care, being in charge of a unit with 24-hour accountability, and developing and implementing a plan of care for the clients are under the scope of practice of an RN.
Question 5 of 5
The caregiver of a client with mental disabilities has recently passed away. The client is unable to perform self-care at home. What facility would best meet the needs of this client?
Correct Answer: C
Rationale: Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Clients must meet specific criteria related to an inability to meet their own activities of daily living (ADL). Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Acute care facilities care for clients with a higher acuity level. Ambulatory care is also referred to as outpatient care and is a short stay.