Leadership / Delegation Question #18

Question

The nurse is preparing discharge for a 82-year-old client recovering from a hip replacement. The nurse will assist with referral to which type of continued care?

Answers

  1. Outpatient physical therapy.
    • Rationale:

      This answer is not correct because the client is in need of a place to help him transition from the hospital and surgery to rehabilitation, not an outpatient physical therapy center. A skilled care facility is an inpatient, not outpatient facility. The clients in need of a skilled care facility due to the nature of his surgery. A skilled facility provides care for clients including post-orthopedic surgery clients needing rehabilitation, those needing strengthening, and those with speech or auditory needs.

  2. Assisted living care facility.
    • Rationale:

      This answer is not correct because an assisted living care facility is a facility that provides very minimal assistance compared to a skilled care facility. The person living in an assisted living care facility is a residential living quarters and residents must be independent. The assisted living facility may provide minor assistance such as meal preparation, transportation services, and medication reminders or administration from non-licensed staff.

  3. Ambulatory care center.
    • Rationale:

      This answer is not correct because an ambulatory care center is an outpatient medical facility. It is designed to provide services such as outpatient diagnostic and intervention services. Although this client may use this service later for follow-up x-rays, etc., this is not a place to reside when recovering from surgery.

  4. Skilled care facility.
    • Rationale:

      This answer is correct because a skilled care facility is an inpatient place that serves as care for a client needing help as they transition between the hospital setting to the home. Registered nurses (RN), medical doctors, audiologists, speech pathologists, vocational nurses, and rehabilitation health care providers (physical therapy, occupational therapy, etc.) each work to meet the client’s specific needs. The clients in need of a skilled care facility include stroke clients, post-orthopedic (hip, knee replacement) surgery clients needing rehabilitation, those needing strengthening, and those with speech or auditory needs.

Overview

A client recovering from hip replacement would be referred to a skilled care facility.

Explanation

Learning Outcomes

A skilled care facility is an inpatient place that serves as care for a client needing help as they transition between the hospital setting to the home. A skilled nursing facility admission has defined goals and is considered short-termed care. There is a multidisciplinary approach to care in a skilled care facility. Registered nurses (RN), medical doctors, audiologists, speech pathologists, vocational nurses, and rehabilitation health care providers (physical therapy, occupational therapy, etc.) each work to meet the client’s specific needs. The clients in need of a skilled care facility include stroke clients, post-orthopedic surgery clients needing rehabilitation, those needing strengthening, and those with speech or auditory needs.

Test Taking Tip

Be in tune with adjectives that precede the various facilities to look for cues of what is correct. Words such and outpatient, ambulatory, assisted, versus skilled should be considered. Skilled means that skilled, licensed practitioners are in the facility providing the needed rehabilitation the client needs.

Video Rationale