The patient has been discharged from the hospital with an order for physical therapy home health care treatments. Which person should perform the initial assessment of this patient for the home health care agency?

1. The physical therapist
2. A registered nurse
3. A licensed practical nurse
4. The home health care agency secretary


1
Rationale: When the only ordered service is a rehabilitative therapy, the initial assessment can be done by the appropriate skilled rehabilitation professional, in this case, the physical therapist.

Nursing

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The nurse identifies which anticipated outcomes of using a continuous passive motion mechanical device on the postoperative client?

Select all that apply. 1. The client experiences decreased edema in the joint. 2. The client does not accumulate blood in the joint. 3. The client experiences decreased pain in the joint. 4. The client has no or reduced scar tissue formation in the joint. 5. The client is able to get out of bed quickly after surgery.

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What specific condition was considered an indication for bloodletting when patients were diagnosed with mental illness?

1. Melancholy 2. Excess excitability 3. Cerebral dysfunction 4. Hereditary weakness

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A framework for understanding health care improvement has been proposed by the IOM Committee on Quality of Health Care in America

The aims for health care quality improvement propose that health care systems ensure that care is (select all that apply): a. safe. b. timely. c. efficient. d. cost-controlled. e. patient-centered.

Nursing

Prior to discharge, a patient with diabetes needs to learn how to check a finger-stick blood sugar before taking insulin. Which action will best help the patient remember proper technique?

1) Encouraging the patient to check the blood sugar each time the nurse gives insulin 2) Providing feedback after the patient takes his blood sugar for the first time 3) Verbally instructing the patient about how to obtain a finger-stick blood sugar 4) Offering a brochure that describes the technique for checking a blood sugar

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