An 86-year-old male admitted for appendectomy is being discharged ...

[Marty]

An 86-year-old male admitted for appendectomy is being discharged to a nursing care facility. He has been diagnosed with depression during this hospitalization.
 
  According to the Omnibus Reconciliation Act (OBRA), regarding placement of clients in long-term care (LTC) facilities, which of the following statements is accurate?
 
  A) He may be placed into an LTC facility if there is an open bed.
  B) He must go home to recover prior to placement in an LTC facility.
  C) He must be placed in an inpatient psychiatricmental health acute care facility until his depression has resolved.
  D) He may not be placed into a long-term nursing care facility at this time because he is diagnosed with a psychiatric disorder.

Question 2

A client has just been explained the reason that he must undergo an MRI. When the nurse asks the client if he understands the teaching, he correctly describes what has been said to him. The client is said to be what?
 
  A) Logical
  B) Congruent
  C) Competent
  D) Autonomous

[Liamb2179]

Answer to Question 1

Ans: D
OBRA of 1987 stated that an LTC care facility must not admit, on or after January 1, 1989, any new resident needing active treatment for mental illness or mental retardation. A screening document called the Preadmission Screening and Annual Resident Review (PSARR) determines whether the client needs active psychiatric treatment.

Answer to Question 2

Ans: C
Competence involves the ability of the client to understand and make decisions based on information given.

[Marty]

Excellent

[chereeb]

TYSM