Deck 9: Long-Term Care

Question 1

The nurse admitting a new resident to a long-term care facility is mindful that after the resident is assessed, a care plan must be written within

A) 1 day.
B) 3 days.
C) 5 days.
D) 7 days.

Answer 1

7 days.

Question 2

In 1965 the enactment of Medicare and Medicaid provided older adults and poor persons with the assurance of

A) a minimal level of health care.
B) a reasonable standard of living.
C) guaranteed housing.
D) increased food allowance funding.

Answer 2

a minimal level of health care.

Question 3

The Hill-Burton Hospital Survey and Construction Act of 1946 provided building funds and resulted in nursing homes that

A) allowed for flexible visiting hours.
B) resembled hospitals.
C) were located only in rural settings.
D) were to have at least 100 beds.

Answer 3

resembled hospitals.

Question 4

In regard to nursing services in a long-term care facility, OBRA regulations include

A) a director of nursing that holds at least a master's degree in health administration.
B) availability of vocational nurses on each unit 24 hours a day, 7 days a week.
C) the presence of at least four direct caregivers on duty per unit for each shift, regardless of census.
D) the provision of nursing personnel consistent with the level of care and needs of residents.

Question 5

The Omnibus Budget Reconciliation Act of 1987 (OBRA) affected nursing homes by

A) allowing residents more choice in the selection of a nursing home.
B) mandating that each resident have a private room and bath.
C) producing profound reforms in nursing home care.
D) providing for better funding to meet the needs of the residents.

Question 6

The enactment of Social Security in 1935 afforded older adults the ability to

A) enter a city-sponsored nursing home.
B) purchase care privately.
C) receive care by a physician in the home.
D) stay in hospitals until completely well.

Question 7

A nurse teaching a new resident and family about the Resident Rights outlined by OBRA would include which information? A resident has the right to

A) be informed of rights, rules, and responsibilities.
B) choose activities and care.
C) have clean, safe, home-like environment.
D) organize and participate in resident groups.

Question 8

After a long-term care facility nurse receives a phone order from the physician, the nurse must ensure that the order is countersigned in

A) 8 hours.
B) 12 hours.
C) 24 hours.
D) 48 hours.

Question 9

Historically, European countries in the 1700s housed older persons in institutions with

A) farmers, who could use them as labor.
B) mentally ill persons.
C) older people of the same gender.
D) those of the same socioeconomic class.

Question 10

Transfer from a long-term care facility is being considered for a combative resident.OBRA Resident Rights that impact this decision include

A) a legitimate and documented reason for the transfer.
B) addressing the problem behavior in the care plan.
C) the family preventing the discharge through litigation.
D) the resident has the right to delay the transfer for 20 days.

Question 11

The nurse plans programming at a nursing home understanding that the defining impairment that affects almost all residents in a nursing home is

A) Alzheimer's disease or other cognitive deficit.
B) impairment in ability to perform activities of daily living (ADL).
C) profound hearing loss or other unspecified sensory deficit.
D) severe, progressive visual deficit.

Question 12

The form of residential long-term care facility that offers the most personal freedom, as well as provision of meals, medication supervision, and personal care assistance, is

A) adult day care center.
B) assisted living center.
C) nursing home.
D) transitional care setting.