Question 1

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 to care for people with dementia, often with a focus on providing a therapeutic and supportive environment. These units may have specialized staff who are trained to meet the unique needs of individuals with dementia, and often offer programs and activities that help residents function at their highest level possible. Nursing homes and traditional units may not have the same level of specialization and focus on dementia care. Congruence is not related to this topic.

Question 2

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

Accepted Answer

The use of rules, routines, and requirements is a traditional approach in nursing homes.

Question 3

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

Accepted Answer

Nursing homes typically provide rehabilitation services for seniors recovering from injuries or surgeries. John's broken hip would require intensive rehabilitation, so it is likely that he is living in a nursing home at the moment. Assisted living facilities and adult family homes are not equipped to provide the same level of rehabilitation as nursing homes. A psychiatric hospital is not relevant to John's situation unless there are underlying mental health issues that require treatment.

Question 4

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

Accepted Answer

Special medicating and soft restraints should not be used for all residents in a special care unit. They should only be used as a last resort and under strict guidelines. The use of restraints should be minimized to ensure the safety and well-being of the residents.

Question 5

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

Accepted Answer

The best predictor of placement in a nursing home is lack of social support. Elderly individuals who lack social support from family or friends are more likely to be placed in a nursing home facility. This is because they may not have anyone to provide them with necessary care and support in their own homes, making it more difficult for them to live independently. Poor health is also a factor, but lack of social support is a stronger predictor. Social status and personality traits are not as significant in predicting nursing home placement.

Question 6

The major reason for placement in a nursing home is

Accepted Answer

The major reason for placement in a nursing home is health. Older adults may require specialized care and medical attention that cannot be provided at home or by family caregivers. Financial reasons or lack of other caregivers may also play a role, but ultimately the primary reason for nursing home placement is for necessary medical and health care needs. Personal choice may also be a factor, but it is not typically the main reason.

Question 7

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 typically small, home-like settings that provide personal care and support to individuals with disabilities or chronic conditions. They usually house four or fewer residents and offer meals, housekeeping, medication management and other support services. Nursing homes, on the other hand, provide more intensive medical care and supervision to persons with serious medical conditions or disabilities. Assisted living facilities are larger and offer more amenities, such as group activities, transportation and housekeeping, while psychiatric hospitals provide treatment and care for individuals with mental health disorders.

Question 8

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

Accepted Answer

Skilled care includes 24-hour care from nurses, as well as physical, occupational, and speech therapy. Intermediate care provides less intensive care than skilled care, while marginal care and professional care are not commonly used terms in healthcare.

Question 9

Which of the following statements is true?

Accepted Answer

Research has shown that having increased privacy in one's new home can help ease the adjustment process after relocation. Maintaining family relationships is actually very important for successful adjustment, so statement A is false. Higher socioeconomic status has been found to be associated with better adjustment outcomes after relocation, making statement B false. Finally, forced moves are generally more stressful and disruptive than voluntary moves, so statement D is also false.

Question 10

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

Accepted Answer

According to data from the Centers for Disease Control and Prevention, approximately 4.5% of the population over 65 years old lives in nursing facilities. Choices A, C, and D are incorrect as they either vastly underestimate or overestimate the percentage.

Question 11

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

Allowing residents to make choices and have control over their own lives is a cornerstone of person-centered planning, which focuses on the individual's preferences, needs, and values. Assisted living and staff programs may also offer some level of choice, but they do not necessarily prioritize individual decision-making to the same extent. Person-environment planning is a related concept that involves modifying the physical environment to better meet the needs and preferences of the individual, but it does not encompass the broader range of choices offered through person-centered planning.

Question 12

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

Accepted Answer

According to the Kaiser Family Foundation, approximately 17% of older adults enrolled in Medicare who live in a long-term care facility are aged 65-74.

Question 13

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 emphasizes on treating residents with respect and recognizing their unique needs and preferences, thereby enabling a sense of personal control and autonomy. While support and importance may be important components of this approach, treating residents with respect is the key aspect that promotes their well-being.

Question 14

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

Accepted Answer

The answer of Nursing homes that use person-centered planning show...

Question 15

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

Accepted Answer

The typical nursing home resident is more likely to be female than male. According to data from the National Center for Health Statistics, in 2016, over two-thirds (69%) of nursing home residents were female.

Question 16

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

Accepted Answer

The answer of Langer has argued that routines in nursing...

Question 17

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

Accepted Answer

Nursing homes typically provide 24-hour nursing care, medical treatment, rehabilitation services, and a structured activity program to residents who require a higher level of assistance and supervision due to physical or cognitive impairments. Assisted living facilities and adult family homes generally do not offer skilled nursing care or medical treatment. Hospice care is focused on providing comfort care to individuals who are terminally ill, rather than rehabilitation and medical treatment.

Question 18

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

Accepted Answer

Person-centered planning is focused on understanding and meeting the individual needs, preferences, and interests of the residents while considering their physical, social, emotional, and cultural environment. This approach empowers the residents to participate in decision-making processes and expresses their autonomy and dignity. Staff-to-patient planning and centered-person planning do not fully engage the individual residents in the care process, leading to reduced quality of care and well-being. Person-environment planning may not fully consider the individual needs and preferences of the residents, leading to a standardized approach to care.

Question 19

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

Accepted Answer

The phrase "slightly since the mid-80's" indicates that there has not been a significant increase or decrease in the rate of nursing home residence. Therefore, option C (stable) could also be a possible answer, but option A (declining) is more accurate as there has been a slight decrease. Option B (increasing) and D (none of these) are not supported by the information given.

Question 20

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

Accepted Answer

All of the other options are risk factors for placement in a nursing home, but being male is not a recognized risk factor.

Quiz 5: Where People Live: Person-Environment Interactions