Question 1

How often does the Omnibus Budget Reconciliation Act (OBRA)require that a summary (including vital signs and weight)be obtained in the long-term care setting?

Accepted Answer

A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Yearly 
A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Yearly C

Question 2

Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the ___________ assistant.

Accepted Answer

A)  dental 
B)  certified medication 
C)  restorative nursing 
D)  medical 
A)  dental 
B)  certified medication 
C)  restorative nursing 
D)  medical C

Question 3

What is the correct term for people who live in long-term care facilities?

Accepted Answer

A)  Patients,because they will be receiving acute care. 
B)  Residents,because the facility has become their home. 
C)  Patients,because they seek professional medical services. 
D)  Customers,because they are purchasing care service. 
A)  Patients,because they will be receiving acute care. 
B)  Residents,because the facility has become their home. 
C)  Patients,because they seek professional medical services. 
D)  Customers,because they are purchasing care service. B

Question 4

What is the time limit for the legal administration of medications?

Accepted Answer

A)  30 minutes 
B)  1 hour 
C)  90 minutes 
D)  2 hours 
A)  30 minutes 
B)  1 hour 
C)  90 minutes 
D)  2 hours

Question 5

Although the Occupational Safety and Health Act (OSHA)increases the cost of care,what is a benefit that it provides for long-term care?

Accepted Answer

A)  It ensures a safe environment for personnel. 
B)  It ensures that medications are administered safely. 
C)  It ensures that food is prepared safely. 
D)  It ensures safe ambulation and transportation of patients. 
A)  It ensures a safe environment for personnel. 
B)  It ensures that medications are administered safely. 
C)  It ensures that food is prepared safely. 
D)  It ensures safe ambulation and transportation of patients.

Question 6

The family caring for an older adult in their home feels that they need assistance from a hospice service.What is necessary for hospice service to be initiated?

Accepted Answer

A)  A family request 
B)  A patient request 
C)  Medical certification 
D)  A referral by a hospice nurse 
A)  A family request 
B)  A patient request 
C)  Medical certification 
D)  A referral by a hospice nurse

Question 7

What differentiates the services of a long-term care facility from that of an assisted living facility?

Accepted Answer

A)  Skilled nursing care 
B)  Personal care services 
C)  Weekly visits by the staff health care provider 
D)  Intensive rehabilitation services 
A)  Skilled nursing care 
B)  Personal care services 
C)  Weekly visits by the staff health care provider 
D)  Intensive rehabilitation services

Question 8

What is the goal for services provided by home health care agencies?

Accepted Answer

A)  Self-care 
B)  Assisted living 
C)  Rehabilitation 
D)  Improved function 
A)  Self-care 
B)  Assisted living 
C)  Rehabilitation 
D)  Improved function

Question 9

A 48-year-old long-term care facility resident expresses concern that the cost of his care has used up his assets.For what program should the nurse suggest that the resident apply to cover the continued cost of living in a long-term facility?

Accepted Answer

A)  Medicare 
B)  Hospitalization insurance 
C)  Medicaid 
D)  Public health funds 
A)  Medicare 
B)  Hospitalization insurance 
C)  Medicaid 
D)  Public health funds

Question 10

The nurse assesses a patient's ability to perform self-care activities,as well as more complex social and household activities.What is provided from this assessment?

Accepted Answer

A)  Physical status 
B)  Emotional status 
C)  Health status 
D)  Functional status 
A)  Physical status 
B)  Emotional status 
C)  Health status 
D)  Functional status

Question 11

The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident.What does this allow the planning process to become?

Accepted Answer

A)  Timely 
B)  Patient-centered 
C)  Preferential 
D)  Categorized 
A)  Timely 
B)  Patient-centered 
C)  Preferential 
D)  Categorized

Question 12

The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age.What fraction of the US population live in a home setting?

Accepted Answer

A)  1/4 
B)  1/2 
C)  1/3 
D)  3/4 
A)  1/4 
B)  1/2 
C)  1/3 
D)  3/4

Question 13

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?

Accepted Answer

A)  Minimum Data Set (MDS)and the signature of the health care provider 
B)  Resident Assessment Protocols (RAPs)and the drug list 
C)  Minimum Data Set,Resident Assessment Protocols,and the RN's signature 
D)  Resident Assessment Protocols and the signature of the administrator 
A)  Minimum Data Set (MDS)and the signature of the health care provider 
B)  Resident Assessment Protocols (RAPs)and the drug list 
C)  Minimum Data Set,Resident Assessment Protocols,and the RN's signature 
D)  Resident Assessment Protocols and the signature of the administrator

Question 14

When a patient asks why he must be transferred to a subacute unit from the hospital,what would be an appropriate response by the nurse?

Accepted Answer

A)  Reimbursement guidelines limit adults' stays in an acute setting. 
B)  The health care provider can oversee care more closely in a subacute setting. 
C)  Financial restrictions of insurance limit time spent in an acute care setting. 
D)  Cost and services at the acute care setting are the same as at the hospital. 
A)  Reimbursement guidelines limit adults' stays in an acute setting. 
B)  The health care provider can oversee care more closely in a subacute setting. 
C)  Financial restrictions of insurance limit time spent in an acute care setting. 
D)  Cost and services at the acute care setting are the same as at the hospital.

Question 15

What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?

Accepted Answer

A)  Admittance is limited to people who are relatively unimpaired. 
B)  A contract is usually a lifetime commitment. 
C)  A contract is an acceptable tax shelter. 
D)  Contracts can be signed on a month-to-month basis. 
A)  Admittance is limited to people who are relatively unimpaired. 
B)  A contract is usually a lifetime commitment. 
C)  A contract is an acceptable tax shelter. 
D)  Contracts can be signed on a month-to-month basis.

Question 16

A daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay.Which of the following are important aspects of quality to consider when selecting a nursing home? (Select all that apply. )

Accepted Answer

A)  Privacy is respected. 
B)  Staff members are task-focused. 
C)  The staff welcomes family visits. 
D)  There is a homelike environment. 
E)  Rooms are maintained like a hospital. 
A)  Privacy is respected. 
B)  Staff members are task-focused. 
C)  The staff welcomes family visits. 
D)  There is a homelike environment. 
E)  Rooms are maintained like a hospital.

Question 17

An 82-year-old patient recovering from a hip replacement could be expected to move from the acute care hospital to which setting for rehabilitation?

Accepted Answer

A)  A subacute care unit 
B)  An assisted living center 
C)  An adult day care center 
D)  A continuing care retirement community 
A)  A subacute care unit 
B)  An assisted living center 
C)  An adult day care center 
D)  A continuing care retirement community

Question 18

The nurse suggests to a family caring for a member with early Alzheimer's disease in their home that they investigate the services of an adult day care center.What is a major benefit of adult day care centers?

Accepted Answer

A)  It takes the patient out on recreational outings. 
B)  It can provide daily hygiene. 
C)  It expands social interaction. 
D)  It is free to the public. 
A)  It takes the patient out on recreational outings. 
B)  It can provide daily hygiene. 
C)  It expands social interaction. 
D)  It is free to the public.

Question 19

The long-term care facility nurse recognizes that visiting the resident,changing his or her position,assessing for incontinence,providing skin care,and offering fluids are part of the nurse's responsibility.What does the initiation of these interventions provide?

Accepted Answer

A)  Continuity 
B)  Safety 
C)  Prevention 
D)  Reassurance 
A)  Continuity 
B)  Safety 
C)  Prevention 
D)  Reassurance

Question 20

The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center.What benefits should the patient expect to receive? (Select all that apply. )

Accepted Answer

A)  Overnight care 
B)  Respite care for the family 
C)  Social interaction for the patient 
D)  Mental stimulation for the patient 
E)  Supporting maintenance of the ADLs 
A)  Overnight care 
B)  Respite care for the family 
C)  Social interaction for the patient 
D)  Mental stimulation for the patient 
E)  Supporting maintenance of the ADLs

Exam 38: Long-Term Care

How often does the Omnibus Budget Reconciliation Act (OBRA)require that a summary (including vital signs and weight)be obtained in the long-term care setting?

Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the ___________ assistant.

What is the correct term for people who live in long-term care facilities?

What is the time limit for the legal administration of medications?

Although the Occupational Safety and Health Act (OSHA)increases the cost of care,what is a benefit that it provides for long-term care?

The family caring for an older adult in their home feels that they need assistance from a hospice service.What is necessary for hospice service to be initiated?

What differentiates the services of a long-term care facility from that of an assisted living facility?

What is the goal for services provided by home health care agencies?

A 48-year-old long-term care facility resident expresses concern that the cost of his care has used up his assets.For what program should the nurse suggest that the resident apply to cover the continued cost of living in a long-term facility?

The nurse assesses a patient's ability to perform self-care activities,as well as more complex social and household activities.What is provided from this assessment?

The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident.What does this allow the planning process to become?

The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age.What fraction of the US population live in a home setting?

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?

When a patient asks why he must be transferred to a subacute unit from the hospital,what would be an appropriate response by the nurse?

What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?

A daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay.Which of the following are important aspects of quality to consider when selecting a nursing home? (Select all that apply. )

An 82-year-old patient recovering from a hip replacement could be expected to move from the acute care hospital to which setting for rehabilitation?

The nurse suggests to a family caring for a member with early Alzheimer's disease in their home that they investigate the services of an adult day care center.What is a major benefit of adult day care centers?

The long-term care facility nurse recognizes that visiting the resident,changing his or her position,assessing for incontinence,providing skin care,and offering fluids are part of the nurse's responsibility.What does the initiation of these interventions provide?

The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center.What benefits should the patient expect to receive? (Select all that apply. )

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

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