The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?

Home care services

Sub-acute care facility

Rehabilitation facility

Skilled nursing facility

Answer and Explanation

The Correct Answer is C

Choice A reason:

Home care services provide medical and personal care to clients in their homes. While this option may be suitable for clients with less severe symptoms, a client with significant bilateral lower extremities muscle weakness may require more intensive rehabilitation services to improve mobility and function.

Choice B reason:

A sub-acute care facility provides care for clients who need more intensive services than those available in a traditional nursing home but do not require the full resources of a hospital. While this option may be appropriate for some clients, a rehabilitation facility is better suited for addressing the specific needs of a client with significant muscle weakness due to MS.

Choice C reason:

A rehabilitation facility is the most appropriate setting for a client with significant bilateral lower extremities muscle weakness due to MS. These facilities offer specialized programs and therapies designed to improve mobility, strength, and overall function. The client can receive comprehensive care from a multidisciplinary team, including physical therapists, occupational therapists, and neurologists.

Choice D reason:

A skilled nursing facility provides long-term care for clients with chronic conditions or disabilities. While these facilities offer medical care and assistance with daily activities, they may not provide the intensive rehabilitation services needed for a client with significant muscle weakness due to MS.

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Correct Answer is D

Explanation

Choice A reason:

Restricting visitors to a few hours in the afternoon to promote client rest can help reduce fatigue, but it does not directly address the need to conserve energy throughout the day. While managing visitor times can be part of an overall strategy, it is not the most effective way to conserve energy for essential activities.

Choice B reason:

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period may lead to fatigue and decreased performance. Concentrating activities in a short time frame can be overwhelming and counterproductive, especially for clients with limited energy reserves.

Choice C reason:

Scheduling toilet breaks before and after any other planned activity is practical for managing personal needs but does not specifically address energy conservation. While it ensures that the client is comfortable, it does not optimize the timing of energy-intensive activities.

Choice D reason:

Scheduling energy-intensive activities at the time of day when the client has higher energy levels is the best approach to conserve energy without compromising physical or mental health. This strategy takes advantage of the client’s natural energy peaks, allowing them to perform activities more effectively and with less fatigue. It helps balance activity and rest, promoting overall well-being.

A. Security phase B. Mitigation phase C. Response phase D. Practice phase

Correct Answer is B

Explanation

Choice A reason:

The security phase is not a recognized phase in the National Response Framework. The framework focuses on preparedness, response, recovery, and mitigation phases. Security measures are integrated into these phases but are not a standalone phase.

Choice B reason:

The mitigation phase involves actions taken to reduce the impact of disasters before they occur. This includes identifying at-risk populations, educating residents about evacuation routes, and establishing emergency shelters. These proactive measures help minimize the potential damage and enhance community resilience.

Choice C reason:

The response phase involves actions taken during and immediately after a disaster to ensure safety and provide emergency assistance. While important, the activities described in the question are more aligned with mitigation efforts that occur before a disaster strikes.

Choice D reason:

The practice phase is not a recognized phase in the National Response Framework. However, preparedness activities, including drills and exercises, are part of the overall framework to ensure readiness for potential disasters.

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The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?

Nursing Test Bank

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A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

Correct Answer is D

Explanation

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Correct Answer is B

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