Deck 10: Overview of Long-Term Care

Question 1

While touring various nursing homes looking for a job, the nursing assistant noticed that various nursing homes have a lot in common like: (Select all that apply.)

A) all private rooms with private baths.
B) small chapels on site.
C) patios and gardens with access to those in wheelchairs.
D) a common dining room where residents can gather.
E) a bathtub in every resident's room.

Answer 1

small chapels on site.
patios and gardens with access to those in wheelchairs.
a common dining room where residents can gather.

Question 2

According to the standards, what level of staff must be on-site at the nursing home at all times, 24 hours/day, 7 days/week?

A) Physical therapist
B) Respiratory therapist
C) Registered nursing personnel
D) Nursing assistants

Answer 2

Registered nursing personnel

Question 3

The nursing assistant was hired at a new nursing home in town. The nursing assistant was assigned to work on the "skilled care" unit. Given this assignment, which client(s) should the nursing assistant prepare to take care of? Select all that apply.

A) The client with a fractured hip.
B) The client who has just had a stroke.
C) The client with Alzheimer disease.
D) The client in a coma.
E) The client receiving dialysis and frequent blood transfusions.

Answer 3

The client with a fractured hip.
The client who has just had a stroke.

Question 4

Care provided by the nursing assistant to the client in the assisted living facility will likely involve: (Select all that apply.)

A) administering medications.
B) providing personal care.
C) light housekeeping chores.
D) dressing infected wounds or decubiti.
E) giving insulin to diabetic residents.

Question 5

What does the term "continuum of care" mean in terms of working for a continuing care retirement community (CCRC)?

A) A specific walking area within the inside of a nursing home to help measure distance.
B) A delivery of care over time as a person moves from being independent to needing assistance with personal and medical care.
C) A retirement community for all level of senior citizens that provides social activities as well as free meals and parties.
D) A nursing unit that provides basic care, medications, and physical therapy all on the same unit.

Question 6

Following passage of the Social Security Act, older people who were retired or unemployed were entitled to receive a pension from the government. A pension is basically:

A) a loan to help pay for their hospital bills and require repayment within 10 years.
B) free money that covered the cost of all expenses that have been approved by case management.
C) providing individuals without family a place to live in a "poorhouse."
D) regular cash payments paid to a person, usually after retirement.

Question 7

As a result of the 1980s Institute of Medicine (IOM) report, which governmental act was passed to improve the quality of life for residents of nursing homes by making sure a certain standard of care was being provided?

A) Medicare
B) Medicaid
C) Omnibus Budget Reconciliation Act (OBRA)
D) Health Insurance Portability and Accountability Act (HIPPA)

Question 8

When visiting a nursing facility for a new job, the nursing assistant was told that the position would involve working in a "Green House" project community. This means:

A) there will be lots of gardens outside and plants indoors that they will need to water regularly.
B) the facility will feel like a place of warmth and growth for the residents and staff and will have a "private home" environment with 12 or less residents/home.
C) every individual living in the facility worked in a place that was ecofriendly and have recycling bends throughout the facility.
D) all the residents were professionals who were responsible for many of the innovative ideas in the world of science.

Question 9

Some advantages experienced by the nursing assistant working in a Green House project include the following:

A) additional education is provided that help them make decisions and plan care.
B) turnover is constantly increasing so the assistant can earn additional pay for staying on the project.
C) work-related injuries are less than in traditional nursing homes.
D) because there are less than 12 people per home, the nursing assistant will provide all care including lifting and doing the laundry daily.
E) there is flexibility in setting work hours and times.

Question 10

Which government agency is responsible for monitoring nursing homes to make sure they are meeting the government's standards?

A) Occupational Safety and Health Administration (OSHA)
B) The Food and Drug Administration (FDA)
C) The Joint Commission
D) The Centers for Medicare and Medicaid Services (CMS)

Question 11

Which care facility is regulated by the state governments and has no federal laws that apply to its functioning?

A) Nursing home
B) Skilled nursing facility
C) Assisted living facility
D) Hospital-based rehabilitation unit

Question 12

Which organization specifically accredits long-term services like adult day care centers?

A) The Joint Commission
B) The Continuing Care Accreditation Commission (CCAC)
C) Occupational Safety and Health Administration (OSHA)
D) The Centers for Medicare and Medicaid Services (CMS)

Question 13

After listening to the residents and the case management staff, the nursing assistant knows that for Medicare to pay for skilled health services, which requirement(s) must be met? Select all that apply.

A) The skilled health visit must follow a hospital stay.
B) The nursing facility must be licensed to provide skilled care.
C) If the person fell at home and needs physical therapy to recover, this can be provided in a skilled health facility.
D) Any family member can bring a home-bound person to the skilled health facility without question.
E) Respite care so that family members can leave their close family members who are on palliative care for a week or so.

Question 14

What statement concerning the benefit period used by Medicare is true?

A) It begins with hospitalization and ends when a person has not received any skilled services.
B) It starts after admission to the hospital and ends when physical therapy releases the person to return home.
C) It is the time frame when an individual reaches the age of 65 and can enroll in Medicare.
D) It begins after the person has used up all his or her allotted days in the hospital and ends after 3 months of additional nursing home care.

Question 15

Which statement about long-term care insurance is true?

A) It pays all costs associated with nursing home care.
B) It can help pay for long-term care services to help protect their savings.
C) It is a risky type of insurance to have because a person can pay for many years and never utilize the benefits.
D) It covers additional expenses in the nursing home like medications and supplies.

Question 16

A nursing home client has run out of benefits and is being moved to an assisted living facility. The nursing assistant knows that this type of care is: (Select all that apply.)

A) less expensive than nursing home care.
B) covered under a different Medicare program than hospitalization.
C) covered under state Medicaid funding.
D) possibly covered under a long-term care insurance, depending on the type of policy bought.
E) expensive and requires families to start selling items like the client's home and belongings.

Question 17

The nursing assistant was hired at a new special care unit that cares for clients with dementia. What is the best care action(s) for the nursing assistant to provide when caring for the clients? Select all that apply.

A) Help the client find their room by pointing out items on their door.
B) Use a picture to introduce the client's daughter right before the visit.
C) Ignore when the client says their stomach hurts because the client is confused.
D) If the client refuses to eat, the only action needed is to chart it.
E) Ask permission before opening a closet or drawers.

Question 18

The nursing assistant works at a continuing care retirement community (CCRC) and is caring for a client at the assisted living who has a spouse currently at the skilled nursing unit recovering from pneumonia. The client wants to spend some time with the spouse. What is the best action for the nursing assistant to take?

A) Help the client use the facility's transportation service to visit the nearby skilled care unit.
B) Explain that it is not possible to visit the spouse because the facility is on the other side of the town.
C) Ask the nurse at the skilled care unit if the client's spouse may go to the movie theatre.
D) Establish that the client cannot see their spouse because the spouse has pneumonia.

Question 19

The nursing assistant works at a Green House project caring for a resident who needs to get up from bed to chair with the assistance of two. What is the best action for the nursing assistant to take?

A) Wait until change of shift so the oncoming nursing assistant may help in the transfer.
B) Choose the registered nurse to help with the transfer from the bed to the chair.
C) Ask the nursing assistant caring for residents in another part of the facility to help.
D) Employ the help of the visiting granddaughter who is attending nursing school to help.

Question 20

The nursing assistant at the Green House project observes the physical therapist instruct the resident on how to perform new chair exercises. What is the best action for the nursing assistant to take next?

A) Ask the resident to demonstrate the exercises back to the nursing assistant to determine if the client can do them correctly.
B) Change the care plan and Kardex to include information about the specific exercises.
C) Report to the nurse the addition of chair exercises and how the resident tolerated it.
D) Remind the client when it is time to perform the exercises and point out any areas that need further guidance to do correctly.