The patient has been transferred to the nursing home from the acute care hospital. A report was called from the hospital and was received by the RN in charge of the nursing home unit. Upon arrival, which approach is used to assess the patient?
a. The Long-Term Care Facility Resident Assessment Instrument
b. The case management model
c. Collaborative pathways
d. The charting by exception model
A
Each resident in long-term care is assessed using the Long-Term Care Facility Resident Assessment Instrument as mandated by the Omnibus Budget Reconciliation Act of 1989 (OBRA) and updated in 1998 . Case management is a delivery model that coordinates and links health care services to patients and families while streamlining costs and maintaining quality. The collaborative pathways are multidisciplinary care plans that include key interventions provided and expected outcomes within an established time frame. The charting by exception model involves completing a flow sheet that incorporates those standard assessment and intervention criteria by placing a check mark in the appropriate standard box on the flow sheet to indicate normal findings and routine interventions.
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The nursing executive attempting to incorporate the American Association of Critical-Care Nurses' (AACN's) Healthy Work Environment Standards would formulate which policy? The manager would create a policy to
a. encourage all nurses to return to school to complete degrees. b. limit environmental hazards currently present in the facility. c. provide discounts to a local fitness center for all employees. d. use a standard "handoff" report format at change of shift.
What behaviors would indicate that the treatment plan for a client in alcohol rehabilitation can be
evaluated as effective? a. Abstinent 10 days; states she can maintain sobriety for 1 day at a time; has spoken with employer, who is willing to have her start work in 3 weeks b. Abstinent 15 days; states she has her problems licked; plans to seek a new job where she will not have to face peers who know her history c. Attends AA daily; states many of the members are real alcoholics; thinks she may be able to help some of them find jobs in her company d. Abstinent 21 days; states in future she will never drink during the day or on the job; plans to stop by the bar after work occasionally to show her friends her newly found health
Which statement depicts leadership?
A) A leadership position is assigned. B) A leadership position carries a legitimate source of power. C) Members of a group will follow a person in a leadership position only by choice. D) Leadership requires meeting organizational goals.
The nurse is performing an otoscopic examination in a child and notes the child expressing pain as the pinna is manipulated to better examine the tympanic membrane
Which of the following findings is consistent with the most likely condition? Standard Text: Select all that apply. 1. Erythema is noted along the child's ear canal. 2. The tympanic membrane is in a full position, amber-colored, and immobile. 3. The external ear is abnormally protruding forward. 4. Edema is noted within the child's ear canal. 5. Light yellow drainage is noted within the ear canal.