Use this scenario for questions 35-39 The physical therapist has received an order to evaluate and treat a 76-year-old patient (Patient A)  who lives in local shelter or on the streets. They believe they last saw a doctor over 20 years ago. The patient was admitted to the hospital in a coma with a blood glucose measure of 423 and diagnosed with diabetes type 2. They are referred to physical therapy for gait and transfer training. Nursing reports that they have been moderate assist for all gait and transfers. The patient also has an open wound on the bottom of the right foot. The wound bed is pale and the skin surrounding it is shiny and tight with no hair growth.  Current medications include:  Lopressor (Metoprolol), Metformin, Insulin, and Cephalexin. The interdisciplinary team decides that the patient requires additional therapy in a skilled nursing facility. Based on the patient’s situation, which of the following statements BEST supports the reimbursement process?

A 77-year old patient has been transferred to a local skilled nursing facility from the hospital. The patient is 2 weeks post ORIF ( was in the hospital for 2 weeks) and is WBAT with a front wheeled walker (FWW provided by the SNF). The physical therapist has been asked to evaluate and treat this patient. The goal is for the patient is to be discharged  back to the assistive living facility. The patient has Medicare insurance. The patient’s Patient Driven Payment Model (PDPM) Reimbursement rate is determined to be X. Which of the following factors are utilized in determining the Physical Therapy PDPM?  

The physical therapist has received an order to evaluate and treat a 76-year-old patient (Patient A) who lives in local shelter or on the streets. They believe they last saw a doctor over 20 years ago. The patient was admitted to the hospital in a coma with a blood glucose measure of 423 and diagnosed with diabetes type 2. They are referred to physical therapy for gait and transfer training. Nursing reports that they have been moderate assist for all gait and transfers. The patient also has an open wound on the bottom of the right foot. The wound bed is pale and the skin surrounding it is shiny and tight with no hair growth.  Current medications include:  Lopressor (Metoprolol), Metformin, Insulin, and Cephalexin. Which of the following is the BEST method of instruction in determining intensity for aerobic conditioning exercise prescription with this patient?  

When creating a speech, which of these should we develop first in the process?

Possible extra credit 0.5 pts/ question. From your leadership reading assignment, Chapter 16: Ethics and Law in Nursing.  You are an LPN employed in your first job. A resident complains to you about the care and incompetence of a nurse on the previous shift. Which action is most appropriate?

Which of the following are important when interpreting experimental results? (Select ALL that apply)

Natasha says, “Normally I would’ve wondered what the point of those people was. . . Maybe the whole point of the dancers is just to bring a little wonder in our lives.” This passage best illustrates __________________.

This cell transports microbial antigens across the gut epithelial barrier into the Peyer’s Patch.

Which of the following conditions BEST represents successful aging?

Use the Scenario to Answer Questions 40-46 A  80-year-old patient with a history of osteoarthritis in bilateral hips, knees, and shoulders is referred to outpatient physical therapy in a hospital based outpatient setting. They have had total joint arthroplasties for both hips and the right knee. Patient was diagnosed with a torn rotator cuff in the left shoulder 3 years ago and opted not to have it surgically repaired. Currently complains of severe osteoarthritic pain and limited motion in the right shoulder. PMHx includes hypertension which is managed with low dose diuretics and a beta blocker, adn tramadol for osteoarthritis pain. Six weeks ago the right hip prosthesis was replaced. Patient lives alone in a two-story home and has adapted it so that there is  a bedroom on the first floor and only has to negotiate stairs to do laundry in the basement and to enter and exit the home. There is a railing on the basement stairs and on the stairs entering the home from the garage.  Patient reports prior to the joint replacements, several incidences of falls have occured when getting out of bed due to orthostatic hypotension, which had increased once the patient started taking a beta blocker for hypertension. An increase in orthostatic hypotension in this instance is due to which of the following drugs properties?