Author Question: A client has recently been placed in a long-term care facility, because of marked confusion and ... (Read 42 times)

itsmyluck · **on:** Jul 19, 2018

A client has recently been placed in a long-term care facility, because of marked confusion and inability to perform most activities of daily living (ADLs). Which nursing intervention is most appropriate to maintain the client's self-esteem?

1. Leave the client alone in the bathroom to test ability to perform self-care.
2. Assign a variety of caregivers to increase potential for socialization.
3. Allow client to choose between two different outfits when dressing for the day.
4. Modify the daily schedule often to maintain variety and decrease boredom.

Question 2

A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a severe manic episode.

As a result of guidelines implemented by the Health Care Financing Administration in 1983, the client's Medicare will pay for his stay in this unit for: a. The length of time necessary for his condition to be stabilized
b. Up to 6 months with appropriate documentation
c. A predetermined length of time based on the diagnosis
d. 2 to 4 weeks

abro1885 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The most appropriate nursing intervention to maintain this client's self-esteem is to allow the client to choose between two different outfits when dressing for the day. The nurse should also provide appropriate supervision to keep the client safe, maintain consistency of caregivers, and maintain a structured daily routine to minimize confusion.

Answer to Question 2

C
Medicare payment guidelines are based on the diagnosis, which is classified under a diagnosis-related group (DRG), and specify a predetermined payment for a particular diagnosis. This cost containment strategy has also been adopted by some private insurance companies. After the pre-determined time, the facility is responsible for additional costs incurred by the client's stay.