Question 1

The rate of nursing home residence for people over age 65 has been _____ slightly since the mid-80's.

Accepted Answer

The sentence states that the rate of nursing home residence for people over age 65 has been "declining slightly" since the mid-80's. Therefore, the best choice is A) declining.

Question 2

Seventy-eight-year-old John is recovering from a broken hip.Where is John most likely to be living at the moment?

Accepted Answer

A nursing home is the most likely place for John to be living as it provides specialized care and rehabilitation services for elderly individuals recovering from significant injuries like a broken hip.

Question 3

Nursing homes that use person-centered planning show that residents have all of the following except.

Accepted Answer

Person-centered planning does not typically lead to more sleep for residents in nursing homes.

Question 4

Based on the various theories of person-environment interactions,the best nursing homes use which approach?

Accepted Answer

Person-centered planning is the approach that considers the unique needs, preferences, and abilities of each resident and designs the environment and care to match these factors. This approach promotes a sense of autonomy, promotes engagement and social interaction, and improves the quality of life for the resident. Staff-to-patient planning and centered-person planning do not prioritize the individual needs and preferences of the resident, and person-environment planning is a general term that does not describe a specific approach.

Question 5

Small home-like care facilities that provide assistance with personal care to persons with disabilities or chronic conditions but otherwise in good health are known as

Accepted Answer

Adult family homes are small, home-like care facilities that offer assistance with personal care to individuals with disabilities or chronic conditions who are otherwise in good health. They generally have no more than six residents and offer 24-hour care and support. Nursing homes primarily offer skilled nursing care and rehabilitation services, while assisted living facilities provide assistance with activities of daily living and healthcare services. Psychiatric hospitals are specialized facilities that provide inpatient mental health care to individuals with acute psychiatric conditions.

Question 6

Allowing residents to decorate their own rooms,choosing what they want to eat from a buffet,and deciding whether they want to take a shower or a bath,is a description of which of the following?

Accepted Answer

The given description is of person-centered planning, which emphasizes on empowering individuals to make choices and decisions about their own lives, including preferences for their living environment, food, and personal care.

Question 7

The average older adult enrolled in Medicare who live in a long-term care facility aged 65-74 are roughly

Accepted Answer

Approximately 17% of older adults aged 65-74 who are enrolled in Medicare live in long-term care facilities.

Question 8

Which of the following includes 24-hour care,usually from nurses?

Accepted Answer

Skilled care includes 24-hour care from nurses who provide medical treatment and rehabilitation services. Intermediate care provides less intensive care than skilled care and marginal care provides minimal or no medical care. Professional care is a broad term that can refer to any type of care provided by licensed professionals such as doctors or therapists.

Question 9

At any given time,approximately_____of the population over 65 is living in a nursing facility.

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), approximately 4.5% of the population over 65 is living in a nursing facility at any given time. This number may vary depending on different factors such as location and availability of other types of senior care options.

Question 10

Langer has argued that routines in nursing homes are detrimental to well-being because they result in

Accepted Answer

Langer argues that routines in nursing homes lead to mindlessness, which can negatively impact well-being by reducing engagement and awareness.

Question 11

Which well-designed unit cares for people with dementia and provides a supportive and therapeutic set of programs that help the person function at the highest level possible?

Accepted Answer

Special care units are specifically designed for people with dementia and provide a therapeutic environment with activities and programs that cater to the individual's needs, abilities, and interests. This can help the person function at their highest level possible and improve their quality of life. Nursing homes and traditional units may not provide the same level of specialized care for those with dementia. Congruence, while important in communication and relationships, is not a term relevant to this question.

Question 12

Risk factors for placement in a nursing home include all of the following except

Accepted Answer

Being male is not a risk factor for placement in a nursing home, whereas being over the age of 85, living alone, and having recently been admitted to a hospital are all risk factors.

Question 13

The major reason for placement in a nursing home is

Accepted Answer

The major reason for placement in a nursing home is health. Nursing homes provide specialized care for individuals with chronic health conditions, disabilities or dementia. While lack of other caregivers, financial issues and personal choice can contribute to the decision to move into a nursing home, health concerns are typically the primary reason.

Question 14

All of the following is essential for a special care unit except.

Accepted Answer

The use of special medicating and soft restraints for all residents is not essential and may actually go against the principles of providing specialized care for residents with dementia. The other options listed are essential elements of a special care unit.

Question 15

In which type of facility do residents receive skilled nursing care,medical treatment,rehabilitation,supervision,and activities?

Accepted Answer

Nursing homes provide skilled nursing care, medical treatment, rehabilitation, supervision, and activities for their residents. Assisted living facilities may provide some medical care and assistance with daily activities, but they typically do not offer skilled nursing care. Adult family homes are small, private residences where individuals receive personal care and assistance with daily living but not medical care. Hospice care is focused on end-of-life comfort and support, rather than medical treatment and rehabilitation.

Question 16

Which of the following statements is true?

Accepted Answer

Research has shown that having increased privacy in one's new home, such as having a separate bedroom or bathroom, can help with adjusting to relocation. Maintaining family relationships is important for adjustment, so A is incorrect. Higher socioeconomic status is often associated with better adjustment outcomes, so B is incorrect. Voluntary moves tend to lead to better adjustment than forced moves, so D is incorrect.

Question 17

Many nursing homes still rely on a _____ approach of rules,routines,and requirements.

Accepted Answer

The word "traditional" fits best in the sentence as it refers to a customary or long-established approach. The other options, such as "skilled" and "congruence", do not accurately reflect a particular approach in nursing homes. The word "changed" is not applicable as the sentence does not indicate any previous approach that has been altered.

Question 18

Which of the following characteristics does not describe the typical nursing home resident?

Accepted Answer

The typical nursing home resident is not male, as women make up the majority of nursing home residents. The other characteristics listed - being white, poor, and widowed - are more common among nursing home residents.

Question 19

According to research,what is the best predictor of placement in a nursing home?

Accepted Answer

Lack of social support is the best predictor of placement in a nursing home. Research has shown that individuals with limited social support are more likely to require institutional care due to increased difficulty managing daily tasks, social isolation, and healthcare needs. Poor health may also contribute to the need for nursing home placement, but lack of social support is a more significant factor. Social status and personality traits have not been found to be strong predictors of nursing home placement.

Question 20

The person-centered planning approach is based on promoting residents' well-being through increasing their perceived level of personal control and treating them with _____.

Accepted Answer

The person-centered planning approach promotes residents' well-being by treating them with respect and increasing their perceived level of personal control. While support is also important, it is not the best choice as it is a general term and does not capture the specific focus of the approach. Additionally, control and importance are not appropriate choices as they do not align with the approach's philosophy of empowering residents and valuing their individuality.

Quiz 5: Where People Live: Person-Environment Interactions