An older adult patient has extensive wound care needs after ...

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An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
 
  a. Hospice
  b. Respite care
  c. Assisted living
  d. Skilled nursing

Question 2

The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
 
  a. Pew Health Professions Commission
  b. Healthcare Effectiveness Data and Information Set (HEDIS)
  c. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
  d. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)

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Answer to Question 1

ANS: D
An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff. This often includes administration of IV fluids, wound care, long-term ventilator management, and physical rehabilitation. A hospice is a system of family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness. Respite care is a service that provides short-term relief or time off for people providing home care to an individual who is ill, disabled, or frail. Assisted living offers an attractive long-term care setting with an environment more like home and greater resident autonomy.

Answer to Question 2

ANS: B
Health plans throughout the United States rely on the Healthcare Effectiveness Data and Information Set (HEDIS) as a quality measure. HEDIS compares how well health plans perform key areas: quality/effectiveness of care, access to care, and patient satisfaction with the health plan and doctors. The Pew Health Professions Commission, a national and interdisciplinary group of health care leaders, recommended 21 competencies for health care professionals in the twenty-first century. The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure patient perceptions of their hospital experience. The Magnet Recognition Program recognizes health care organizations that achieve excellence in nursing practice.

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TYSM

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