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.What is this approach called?

A)Team approach
B)Individualized approach
C)Interdisciplinary approach
D)Outgoing approach

Answer 1

Interdisciplinary approach

Question 2

A nurse helps a family understand that once hospice service is initiated,the focus of care changes from rehabilitation and restoration to what type of care?

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

Answer 2

Maintaining comfort as death approaches

Question 3

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?

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

Answer 3

A subacute care unit

Question 4

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

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 5

The Health Care Financing Administration (HCFA)conducts unannounced institutional surveys annually to assess the quality of life for the patients.The findings of the surveys are reported to:

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

Question 6

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

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

Question 7

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

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

Question 8

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)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 9

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

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.

Question 10

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?

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

Question 11

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.Which facility would be the best selection for this patient?

A)Subacute unit setting
B)Long-term care facility (nursing home)
C)Assisted living center
D)Continuing care retirement center (CCRC)

Question 12

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?

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

Question 13

Which statement is true concerning a 50-year-old patient recovering from a stroke who 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 health care provider visits.
C)She will need to contract outside physical therapy services.
D)She will probably be discharged within 6 months.

Question 14

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?

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 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 the older adult in a long-term care facility?

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

Question 16

The Omnibus Budget Reconciliation Act (OBRA)defines the requirements for which aspect of care as it relates to long-term care?

A)Nursing care
B)Nutritional support
C)Quality of care
D)Staffing requirements

Question 17

The nurse clarifies to the family of a patient that one of the roles of the LPN/LVN in the home care setting is to evaluate the care provided to the patient by which provider?

A)The family
B)Other licensed care providers
C)Nonlicensed staff
D)The health care provider

Question 18

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

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 19

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

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

Question 20

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?

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

Question 21

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.)

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 22

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 23

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.)

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 24

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?

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 25

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

Question 26

What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented? (Select all that apply.)

A)A weaker consumer complaint system
B)Better training for state inspectors
C)Program to support national criminal background checks
D)Public disclosure of nursing home owners and operators
E)Training of unlicensed assistive personnel in the care of people with dementia

Question 27

The LPN/LVN performs which functions 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 28

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?

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

Question 29

How often should the long-term care facility nurse make rounds and monitor residents for safety?

A)Every 2 hours
B)Every 4 hours
C)Every 6 hours
D)Once per shift

Question 30

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

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

Question 31

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?

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

Question 32

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?

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

Question 33

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?

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

Question 34

In a long-term care facility,the nurse takes an active part in formulating the resident's plan of care.How often is the plan of care revised?

A)Weekly
B)Every 90 days
C)Monthly
D)Every 6 months