A multi-organization medical system is designing a ...

[gbarreiro]

A multi-organization medical system is designing a community-based facility to support the health care needs of members who live in an urban area. What should the medical system keep in mind when designing the new facility?
 
  1. Affordable
  2. Easy to travel to the facility
  3. A focus on the needs of mothers and children
  4. Many services available to meet community members' needs
  5. Communication of care needs to the community members' other health care providers

Question 2

A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period. On which item should the home health nurse focus to determine effectiveness of discharge teaching?
 
  1. Activity restrictions
  2. Follow-up appointment dates
  3. Return demonstration of dressing change
  4. Signs of complications

[jxjsniuniu]

Answer to Question 1

Correct Answer: 1, 2, 4, 5

Rationale 1: To be effective, a community-based health care system needs to be affordable.

Rationale 2: To be effective, a community-based health care system needs to provide easy access to care.

Rationale 3: To be effective, a community-based health care system needs to focus on the needs of all community members and not just on mothers and children.

Rationale 4: To be effective, a community-based health care system needs to be flexible in responding to the care needs of individuals and families.

Rationale 5: To be effective, a community-based health care system needs to promote care between and among health care agencies through improved communication mechanisms.

Answer to Question 2

Correct Answer: 3
Rationale 1: Activity restrictions are important; however, it would not be possible for the client to demonstrate the expectation to the nurse.
Rationale 2: Knowing when to follow up with a health care provider is important; however, it would not be possible for the client to demonstrate the expectation to the nurse.
Rationale 3: Clients need teaching before discharge that includes information about medications, dietary and activity restrictions, signs of complications that need to be reported to the physician, follow-up appointments, and where supplies can be obtained. Clients, and perhaps caregivers, also need to demonstrate safe performance of any necessary treatments. Clients need help to understand their situation, to make health care decisions, and to learn new health behaviors. All the options would be important for the client to retain, but to determine whether the task of changing the dressing was learned, the client would have to demonstrate the skill back to the nurse.
Rationale 4: Signs of complications are important; however, it would not be possible for the client to demonstrate the expectation to the nurse.

[gbarreiro]

Both answers were spot on, thank you once again

[jxjsniuniu]

Great! Please up vote