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

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Use cool or tepid water.

Explanation: Using cool or tepid water for activities like sponge baths or cool compresses can help lower body temperature and provide relief from heat.

B. Avoid alcohol.

Explanation: Alcohol can contribute to dehydration. Advising the client to avoid alcohol helps maintain proper hydration levels, which is crucial in preventing hyperthermia.

C. Minimize exertion.

Explanation: Excessive physical exertion in high temperatures can lead to overheating. Advising the client to minimize physical activity during peak heat hours can help prevent hyperthermia.

D. Wear cool clothing such as silk or polyester.

Explanation: Light and breathable fabrics like silk or polyester can assist in keeping the body cool by allowing better air circulation. This helps prevent overheating.

E. Drink plenty of fluids.

Explanation: Staying well-hydrated is essential in preventing hyperthermia. Encouraging the client to drink plenty of fluids helps maintain hydration and regulate body temperature.

A. HIPAA B. OASIS C. Fulmer SPICES D. Resident Assessment Instrument (RAJ)

Correct Answer is D

Explanation

A. HIPAA (Health Insurance Portability and Accountability Act)

Explanation: HIPAA, enacted in 1996, focuses on protecting the privacy and security of individuals' health information. While it is essential in healthcare, it is not directly connected to the nursing home reform mandated by the 1987 law.

B. OASIS (Outcome and Assessment Information Set)

Explanation: OASIS is a set of standardized assessments used in home health care, primarily for Medicare-certified home health agencies. It is not directly connected to the nursing home reform mandated by the 1987 law.

C. Fulmer SPICES

Explanation: Fulmer SPICES is a tool used for assessing common geriatric syndromes, but it is not specifically associated with the nursing home reform mandated by the 1987 law.

D. Resident Assessment Instrument (RAI).

Explanation: The Resident Assessment Instrument (RAI) is associated with nursing home reform mandated by the Omnibus Budget Reconciliation Act (OBRA) of 1987. OBRA '87 established regulations and standards for nursing homes, including requirements for comprehensive assessments, care planning, and quality of care. The RAI, specifically the Minimum Data Set (MDS), is a standardized assessment tool used to evaluate the health status and needs of nursing home residents, ensuring a consistent and comprehensive approach to resident assessment and care planning.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E"]

Explanation

Which one of the following is connected with the nursing home reform mandated by a 1987 law?

Correct Answer is D

Explanation

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