Question 1

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.)

Accepted Answer

Overnight care is usually not offered from a day care center.

Question 2

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.

Accepted Answer

The answer of When a resident who is a Muslim...

Question 3

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.)

Accepted Answer

It is important that privacy is respected,family members are welcomed,and a homelike environment is maintained.Staff members should be resident-focused,not task-focused.Rooms should be maintained like a home instead of like a hospital.

Question 4

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?

Accepted Answer

In the acute care setting,strict rules about length of stay and limitations in cost reimbursement limit the amount of time adults can be hospitalized.These strict reimbursement rules for acute care do not apply,however,to subacute care provided in a skilled nursing facility setting.

Question 5

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

Accepted Answer

The answer of The nurse explains to a patient that...

Question 6

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

Accepted Answer

The Affordable Care Act will result in a stronger consumer complaint system,better training for state inspectors,a program to support national criminal background checks,public disclosure of nursing home owners and operators,and training for unlicensed assistive personnel in the care of people with dementia.

Question 7

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

Accepted Answer

Reviewing documentation may be done by an LPN/LVN but not in the role of staffing coordinator but as a medical chart auditor or reviewer.Scheduling care providers and verifying financial coverage are among the duties of the staffing coordinator.Making referrals and performing comprehensive assessments are duties of the RN.

Question 8

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?

Accepted Answer

A summary,including vital signs and weight,is only required on a monthly basis.

Question 9

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

Accepted Answer

Nursing interventions related to long-term care include making rounds and monitoring for resident safety every 2 hours.

Question 10

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

Accepted Answer

These two members of the care team are unique to the long-term care facility.Both have had extra training over and above that of the certified unlicensed assistive personnel.

Question 11

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?

Accepted Answer

The functional status is related to activities of daily living (ADLs)and instrumental activities of daily living (IADLs).

Question 12

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?

Accepted Answer

Nursing interventions basic to long-term care include monitoring safety measures such as changing the resident's position every 2 hours,assessing for incontinence,providing skin care when needed,and offering fluids.

Question 13

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?

Accepted Answer

The planning process must be patient-centered.

Question 14

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?

Accepted Answer

In long-term care,the resident's plan of care is reviewed by the interdisciplinary team every 90 days for resolution of problems or revision of goals and interventions.

Quiz 38: Long-Term Care