Deck 38: Long-Term Care

Question 1

In the long-term care facility,health care professionals work together to meet the needs of older adults and to go over the care plan with the resident and family members.This approach is called a(n):

A) team approach.
B) individualized approach.
C) interdisciplinary approach.
D) outgoing approach.

Answer 1

interdisciplinary approach.

Question 2

The nurse explains that people in a long-term care facility are referred to as:

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.

Answer 2

residents because the facility has become their home.

Question 3

To help the resident preserve a meaningful quality of life in a long-term care setting,the nurse will implement a(n):

A) patient care plan.
B) individualized approach.
C) psychologically approved approach.
D) physician-approved approach.

Answer 3

individualized approach.

Question 4

The nurse differentiates the services of a long-term care facility from that of an assisted living facility,which supplies residents with:

A) skilled nursing care.
B) personal care services.
C) weekly visits by the staff physician.
D) intensive rehabilitation services.

Question 5

The LVN/LPN informs the home health patient that the home health care RN provides many services,but is mainly employed by the home health agency in the capacity of:

A) daily caregiver.
B) care administrator.
C) creator of policy and protocols.
D) liaison between the agency and the state board.

Question 6

The Health Care Financing Administration (HCFA)conducts unannounced institutional surveys annually to assess the quality of life for the patients,which is reported to:

A) various licensing boards.
B) facility administrators.
C) the public.
D) the U.S.Department of Health and Human Services.

Question 7

Although the Occupational Safety and Health Act (OSHA)increases the cost of care,it also specifies the requirements for safe:

A) environment.
B) medication administration.
C) food preparation.
D) ambulation and transportation.

Question 8

The family caring for an older adult in their home feels that they need assistance from a hospice service.The nurse instructs them that service can be initiated by:

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

Question 9

When planning care in a long-term care facility,the nurse is aware of resident's rights as Omnibus Budget Reconciliation Act (OBRA)defines the requirements for:

A) nursing care.
B) nutritional support.
C) quality of care.
D) staffing requirements.

Question 10

The nurse informs an older adult couple considering a continuing care retirement community (CCRC)that these facilities offer a complete range of health care services from independent living to 24-hour skilled nursing and that a contract with a CCRC is:

A) limited to people who are relatively unimpaired.
B) usually a lifetime commitment.
C) an acceptable tax shelter.
D) on a month-to-month basis.

Question 11

The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age.The nurse recognizes that what percentage of people over 65 live at home?

A) 42%
B) 48%
C) 55%
D) 67%

Question 12

The nurse recognizes that there is a time limit for the legal administration of medications,which is:

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

Question 13

When a 48-year-old long-term care facility resident expresses concern over the cost of care that has used up his assets,the nurse suggests that to cover the continued cost of living in a long-term facility,the resident should apply for:

A) Medicare.
B) hospitalization insurance.
C) Medicaid.
D) public health funds.

Question 14

The LVN/LPN helps an 82-year-old patient recovering from a hip replacement understand that the remainder of her rehabilitation phase will not be spent in the acute hospital setting,but in a(n):

A) subacute care unit.
B) assisted living center.
C) adult day care center.
D) long-term care facility (nursing home).

Question 15

The nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing him or her in a long-term care facility?

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

Question 16

The nurse recognizes that services provided by home health care agencies are aimed at:

A) self-care.
B) assisted living.
C) rehabilitation.
D) improved function.

Question 17

The nurse assures a 50-year-old patient recovering from a stroke that because she is going to a long-term care facility for a short stay:

A) her regular hospitalization insurance will pay for the care.
B) she will still have daily physician visits.
C) she will need to contract outside physical therapy services.
D) she will probably be discharged within 6 months.

Question 18

The home health nurse is assisting a family to select a long-term care facility for an 80-year-old widow in good health who no longer drives,loves to play cards,can ambulate with a walker,and is oriented.The best selection for this patient would be:

A) subacute unit setting.
B) long-term care facility (nursing home).
C) assisted living center.
D) continuing care retirement center (CCRC).

Question 19

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 because such centers:

A) will take patient out on recreational outings.
B) can provide daily hygiene.
C) expand social interaction.
D) are free to the public.

Question 20

The nurse clarifies to the family of a patient that the role of the LPN/LVN in the home care setting is to be a resource person and to evaluate the care provided to the patient by:

A) the family.
B) other licensed care providers.
C) nonlicensed staff.
D) the physician.

Question 21

The nurse explains to a patient that shopping,using a phone,and administering his own medications are classified as ____________ activities of daily living.

Question 22

When a patient asks why he must be transferred to a subacute unit from the hospital,the nurse replies that:

A) reimbursement guidelines limit adults' stays in an acute setting.
B) the physician 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.

Question 23

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

Question 24

The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident.Timely assessments allow the planning process to be:

A) based on the patient's disease process.
B) patient-centered.
C) preferential.
D) categorized.

Question 25

In a long-term care facility,the nurse takes an active part in formulating the resident's plan of care,which is revised every:

A) week.
B) 90 days.
C) month.
D) six months.

Question 26

The LPN/LVN performs which function(s)when working as a staffing coordinator of a home health agency? Select all that apply.

A) Scheduling appropriate care providers
B) Reviewing documentation
C) Verifying financial coverage
D) Making referrals
E) Performing comprehensive assessments

Question 27

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.These interventions are initiated to provide:

A) continuity.
B) safety.
C) prevention.
D) reassurance.

Question 28

When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements,the nurse may refer this concern to the long-term care ____________ department.

Question 29

The nurse assesses a patient's ability to perform self-care activities as well as more complex social and household activities.The result of this assessment provides the patient's:

A) physical status.
B) emotional status.
C) health status.
D) functional status.

Question 30

The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center for which benefit(s)? (Select all that apply.)

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

Question 31

The long-term care facility nurse should make rounds and monitor residents for safety every:

A) 2 hours.
B) 4 hours.
C) 6 hours.
D) shift.

Question 32

When the LVN/LPN completes the Resident Assessment Instrument (RAI),it must have the:

A) Minimum Data Set (MDS)and the signature of the physician.
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 33

The nurse helps the family understand that once hospice service is initiated,the focus of care changes from rehabilitation and restoration to that of:

A) maintaining the patient at the optimal level.
B) assisting with funeral planning.
C) relieving the family of care.
D) maintaining comfort as death approaches.

Question 34

The nurse follows guidelines set out by OBRA when documenting a summary including vital signs and weights,which is required every:

A) day.
B) week.
C) month.
D) year.