A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility.
To which tertiary service is the patient likely to be referred?
Respite care.
Home health care.
Wound care.
Hospice care.
The Correct Answer is B
Choice A rationale
Respite care is temporary care provided to give the primary caregiver a break, which is not the primary need of a patient recovering from a hip fracture.
Choice B rationale
Home health care is the most appropriate service for a patient who has been discharged home and needs physical therapy. Home health care can provide a range of services, including physical therapy, in the patient’s home.
Choice C rationale
Wound care would be more appropriate for a patient with a wound or ulcer that requires regular dressing changes, not for a patient recovering from a hip fracture.
Choice D rationale
Hospice care is end-of-life care for patients with terminal illnesses. It is not appropriate for a patient recovering from a hip fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.
Correct Answer is A
Explanation
Choice A rationale
The HITECH Act established a regulatory framework for EHRs that imposed security and privacy requirements not only on medical providers, but also on other companies and organizations they did business with that might also handle EHR data. This includes ensuring that no protected health information is posted on social media.
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