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
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.
Question 2 of 5
A client experienced a stroke approximately 2 weeks previously and has residual left side hemiparesis. What facility would best meet the needs of this client in order to help regain independence with activities of daily living?
Correct Answer: A
Rationale: Rehabilitation care provides physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Hospices provide care for clients diagnosed with a terminal illness whose life expectancy is fewer than 6 months. Ambulatory care is short-term outpatient care. Acute care facilities are facilities that provide care to clients of higher acuity.
Question 3 of 5
A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend their last days in a facility that will be able to keep the client comfortable and control their severe dyspnea. What facility will meet the needs of the client and family?
Correct Answer: B
Rationale: Hospice provides care for clients diagnosed with a terminal illness whose life expectancy is fewer than 6 months. Hospices allow terminally ill clients to live as fully as possible while managing pain, discomfort, and other symptoms. Rehabilitation centers provide physical and occupational therapy to clients and families to help individuals regain as much independence with ADLs as possible. Intermediate care facilities (ICFs) are nursing homes that provide custodial care for people who cannot care for themselves because of mental or physical disabilities. Ambulatory care is also outpatient care.
Question 4 of 5
A client wishes to be discharged to home and not be admitted to a long-term care facility. The client requires daily wound care for a large sacral pressure ulcer and home health nurses will be consulted. What will be the goal of the home health nurses in the care of this client?
Correct Answer: D
Rationale: The RN encourages clients and family members to develop self-care skills, with support from community resources. The home health nurse's goal is to allow the client to be cared for in their home and not in a long-term care facility if that is not what the client wishes. The client's condition does not enable self-care. The goal for the family will be to perform dressing changes in the home and the nurse will continue to monitor the condition of the wound.
Question 5 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.