When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides

a. longer stays for Medicare patients in acute inpatient settings.
b. increased use of extended care units for rehabilitation needs.
c. inappropriate early discharge of large numbers of patients.
d. universal coverage for U.S. citizens and permanent residents.


ANS: B
Medicare provides for 20 days post-hospitalization care in a skilled nursing facility for rehabilitation services. Medicare patients in acute inpatient settings do not have longer stays. Medicare does not provide universal coverage for U.S. citizens and permanent residents. Inappropriate early discharge of large numbers of patients is not an advantage to a patient.

Nursing

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The nurse is preparing an educational program about the use of over-the-counter (OTC) medications for residents of an assisted living community. What information should the nurse include in this program? Select all that apply.

1. Medications purchased without a prescription can be used with alcohol. 2. Herbal supplements are not considered medications. 3. A person can overdose on medications containing acetaminophen. 4. Health insurance does not pay for medications that are not prescribed. 5. There are increased drug interactions between prescribed and OTC medications.

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A resident has aphasia. Which will help the person feel a sense of control?

a. Allowing personal choices whenever pos-sible b. Showing the person pity and sympathy c. Doing as much as possible for the person d. Meeting the person's spiritual needs

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The registered nurse came to see many strengths and resources in the rural area. Among these were that rural residents are

a. Diverse, both in ethnic groups and in age groups. b. Politically open to new ideas and approaches. c. Very resourceful and self-reliant. d. Willing to spend money to improve safety.

Nursing

A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. The nurse should explain that this is:

a. a sign the child is spoiled. b. a way to exert unhealthy control. c. regression, common at this age. d. ritualism, common at this age.

Nursing