Deck 37: Long-Term Care

Question 1

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

Answer 1

Residents, because the facility has become their home

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

The nurse suggests to a family caring for a member with early Alzheimer 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.

Answer 3

It expands social interaction.

Question 4

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 5

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

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

Question 6

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 7

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 8

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 9

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 U.S. Department of Health and Human Services.

Question 10

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 physician

Question 11

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

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

Question 12

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 13

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 14

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 physician
D) Intensive rehabilitation services

Question 15

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 physician visits.
C) She will need to contract outside physical therapy services.
D) She will probably be discharged within 6 months.

Question 16

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 percentage of people over 65 live in a home setting?

A) 42%
B) 48%
C) 55%
D) 67%

Question 17

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) $\frac { 1 } { 4 }$
B) 1/3
C) $\frac { 1 } { 2 }$
D) 2/3

Question 18

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

Question 19

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

Question 20

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

A) Minimum Data Set (MDS) and the signature of the physician
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 21

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

Question 22

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 nursing assistants in the care of people with dementia

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

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 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

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 27

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 28

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 29

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 30

The LPN/LVN performs which function(s) 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 31

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 32

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 client 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 33

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 six months

Question 34

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 physician 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.