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?

Accepted Answer

The long-term care facility is an interdisciplinary setting.

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?

Accepted Answer

Hospice care is focused on the provision of comfort to the person who is approaching death.While hospice will assist with funeral planning as needed,it is not the focus of care.Hospice provides respite for the family,but hospice does not relieve the family of care duties.

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?

Accepted Answer

Subacute units have a strong rehabilitative focus and a shorter length of stay than a long-term care center.

Question 4

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

Accepted Answer

The RAI must be signed by the RN and contain the RAPs and MDS.

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:

Accepted Answer

Surveyors are required by law to visit the long-term care facility unannounced,on an annual basis and as needed,and the report is made public.

Question 6

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

Accepted Answer

Services provided by home health care agencies are aimed at rehabilitation.

Question 7

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

Accepted Answer

In long-term care,there is a 2-hour window for legal administration of medications,1 hour before and 1 hour after the official administration time.

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)?

Accepted Answer

CCRCs offer a complete range of health care services,from independent living to 24-hour skilled nursing.In most cases,signing a contract with a CCRC is a lifetime commitment.

Question 9

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

Accepted Answer

The older adult in a long-term care facility is referred to as a resident to reinforce the homelike environment.

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?

Accepted Answer

When adults have used all of their assets,they may then qualify for Medicaid.Medicaid is a federally funded,state-operated program of medical assistance for people with low incomes.

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?

Accepted Answer

The assisted living center provides meals,transportation,social interaction,and a homelike quality without the intrusion of the medical model.The patient's age does not make her a reasonable candidate for a CCRC.The patient does not require acute skilled nursing care.

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?

Accepted Answer

Hospice agencies provide care at the end of life.Medical certification is required for terminal care.

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?

Accepted Answer

A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months.Regular hospitalization insurance does not cover long-term care.Daily health care provider visits do not occur in the long-term care facility.

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?

Accepted Answer

Adult day care centers are open a large part of the day and offer several modalities to enhance social interaction and also give the family respite.

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?

Accepted Answer

It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility.

Question 16

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

Accepted Answer

OBRA defines requirements for the quality of care given to residents of long-term care facilities.

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?

Accepted Answer

One of the roles of the LPN/LVN in the home care setting may be to evaluate the care provided by CNAs,HHAs,homemakers,and personal care attendants.

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?

Accepted Answer

The OSHA guidelines significantly increase costs,but they also ensure a safe environment for personnel,which is mandatory today.

Question 19

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

Accepted Answer

Assisted living is a type of residential care setting where the resident receives personal care 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?

Accepted Answer

The answer of The home health nurse helps an older...

Quiz 38: Long-Term Care