The registered nurse provides care covered by Medicare for a client for over two hours during the day, three days during the week, for 60 days. Which type of care is the nurse providing?
part time
skilled
interdisciplinary
telehealth
The Correct Answer is B
Rationale:
A. Part-time care refers to the frequency or duration of services but does not specify the level or type of care provided. While the nurse is providing care part-time in terms of hours, the defining factor here is the nature of the care, not just the schedule.
B. Skilled care is correct. Skilled care involves services that require the expertise of a licensed nurse or therapist, such as wound care, intravenous therapy, medication management, or assessment and monitoring of a complex condition. Medicare covers skilled care when it is medically necessary and provided on a planned schedule. In this scenario, the nurse is providing care over two hours per day, three days a week, for 60 days, meeting criteria for skilled nursing services in a home health setting.
C. Interdisciplinary care involves collaboration among multiple healthcare professionals, such as nurses, physicians, physical therapists, and social workers, to manage a patient’s care. While interdisciplinary care may occur in this context, the scenario specifically describes nursing services provided to the client, making skilled care the more precise answer.
D. Telehealth refers to the remote delivery of healthcare services via telecommunications technology. The scenario describes in-person nursing care, not remote monitoring or consultation, so telehealth is not applicable.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Red tag is used for patients with immediate, life-threatening injuries requiring urgent treatment to survive. These patients are prioritized first in triage.
B. Yellow tag is for patients with serious but not immediately life-threatening injuries that require care within 1–2 hours to prevent deterioration.
C. Green tag is correct. This color identifies patients with minor injuries whose treatment can be delayed 2–4 hours without significant risk. These individuals are often called the "walking wounded" because they are typically ambulatory, stable, and capable of self-care with minimal assistance.
D. Black tag designates patients who are deceased or have injuries so severe that survival is unlikely, even with immediate care. These patients are considered expectant and are prioritized for comfort measures rather than active intervention.
Correct Answer is C
Explanation
Rationale:
A. Assessing casualties is an essential step, but it comes after ensuring the scene is safe. Immediately entering a hazardous environment without evaluating safety can endanger the nurse and others, potentially creating additional casualties.
B. Seeing who else is around to help can be useful for coordination, but it is secondary to confirming that the environment is safe. Even with available help, responding in an unsafe environment is not appropriate.
C. Check the safety of the environment is correct. The first priority in any emergency response is personal and bystander safety. Nurses and responders must evaluate for hazards such as fire, structural instability, chemical exposure, electrical hazards, or ongoing violence. Ensuring a safe environment allows responders to care for victims without becoming victims themselves.
D. Calling the local hospital is important for communication and resource mobilization, but it should be done after assessing safety and beginning triage and initial interventions.
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