An older client is being discharged from the hospital to a sub-acute unit. The client says to a nurse, "I am not sure I understand the difference between a sub-acute unit and a nursing home. Can you help me understand?" The nurse considers which of the following in formulating a response:
Sub-acute care is more intensive than traditional nursing home care
Sub-acute care and nursing home care are identical
Sub-acute care is reimbursed by either Medicaid on private pay
Professional nursing staff levels are the same as those in traditional nursing home settings
The Correct Answer is A
A. Sub-acute care is more intensive than traditional nursing home care.
Explanation: Sub-acute care is generally more intensive and focused on providing specialized, short-term medical care and rehabilitation services. It is designed for individuals who require a higher level of care than what is typically provided in traditional nursing home settings.
B. Sub-acute care and nursing home care are identical.
Explanation: This statement is incorrect. Sub-acute care and nursing home care serve different purposes. Sub-acute care is typically provided for individuals recovering from acute medical conditions or surgeries, while nursing homes often cater to individuals with chronic illnesses or long-term care needs.
C. Sub-acute care is reimbursed by either Medicaid or private pay.
Explanation: This statement is not entirely accurate. Sub-acute care may be reimbursed by a variety of sources, including Medicare, private insurance, and, in some cases, Medicaid. The reimbursement sources can vary based on the specific circumstances and the services provided.
D. Professional nursing staff levels are the same as those in traditional nursing home settings.
Explanation: This statement is generally incorrect. Sub-acute care settings often have a higher ratio of skilled healthcare professionals, including nurses and therapists, compared to traditional nursing homes. This higher level of staffing is necessary to meet the more intensive medical and rehabilitation needs of sub-acute care patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It provides monetary benefits to American citizens and legal residents to prevent their dependency on their families.
Explanation: Medicaid primarily provides health coverage rather than direct monetary benefits. Its focus is on ensuring access to medical care for those in need.
B. It provides a minimum level of economic support.
Explanation: While Medicaid may indirectly support individuals by covering medical expenses, its primary purpose is to provide health insurance coverage, not economic support in a general sense.
C. It is designed to help the states defray the expenses for the poor.
Explanation: This option describes the collaborative nature of Medicaid, where both federal and state governments contribute to funding. However, the primary goal is to provide health coverage to eligible individuals rather than defraying general expenses for the poor.
D. It is meant to provide insurance coverage for medical care to the older adult and disabled populations, regardless of their financial situations.
Explanation: Medicaid is a joint federal and state program that provides health coverage for certain individuals and families with low incomes, including older adults and people with disabilities. It is designed to assist individuals who may not have the financial means to afford necessary medical care. Medicaid covers a broad range of medical services, and eligibility is determined based on income, household size, and other factors.
Correct Answer is ["B","C","D"]
Explanation
A. Use absorbent incontinent pads.
Explanation: While absorbent incontinent pads are useful for managing incontinence, they do not directly contribute to preventing hypothermia. Maintaining warmth through appropriate clothing and insulation is more relevant to hypothermia prevention.
B. Eat high-protein meals.
Explanation: Consuming high-protein meals is important for maintaining energy and body heat. Protein metabolism produces heat as a byproduct, contributing to overall warmth.
C. Layer clothing and bedclothes.
Explanation: Layering helps trap warmth close to the body, providing insulation. This is an effective strategy to prevent heat loss and maintain body temperature.
D. Use a head covering.
Explanation: A significant amount of heat is lost through the head. Wearing a head covering, such as a hat or a cap, helps to minimize heat loss and maintain body temperature.
E. Use your comfort level to set the thermostat.
Explanation: Relying solely on personal comfort to set the thermostat may not provide adequate protection against hypothermia. It is important to keep indoor temperatures at a level that ensures warmth and minimizes the risk of cold exposure, especially for elderly individuals who may be more susceptible to temperature extremes.
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