Question 1

The nurse admitting a new resident to a long-term care facility is mindful that after the resident is assessed, a care plan must be written within

Accepted Answer

The guidelines mandate that a nursing care plan be on record 7 days after the initial assessment.

Question 2

In 1965 the enactment of Medicare and Medicaid provided older adults and poor persons with the assurance of

Accepted Answer

The Medicare and Medicaid laws assured the aged and poor populations of a minimal level of health care.

Question 3

The Hill-Burton Hospital Survey and Construction Act of 1946 provided building funds and resulted in nursing homes that

Accepted Answer

The Hill-Burton Act provided funds for building nursing "homes," but the new facilities had to meet the criteria for hospitals and were built and organized similarly.

Question 4

In regard to nursing services in a long-term care facility, OBRA regulations include

Accepted Answer

OBRA mandated that long-term care facilities provide nursing personnel consistent with the residents' level of care and needs. The requirement for a director of nursing is that there is a full-time director if the facility has more than 60 beds. There are no specific staffing guidelines other than a registered nurse on duty for at least 8 consecutive hours a day, 7 days a week.

Question 5

The Omnibus Budget Reconciliation Act of 1987 (OBRA) affected nursing homes by

Accepted Answer

OBRA caused profound reforms in long-term care facilities.

Question 6

The enactment of Social Security in 1935 afforded older adults the ability to

Accepted Answer

The Social Security Act in 1935 allowed older people the means to purchase care privately and not to rely on charitable or public institutions.

Question 7

A nurse teaching a new resident and family about the Resident Rights outlined by OBRA would include which information? A resident has the right to

Accepted Answer

OBRA Resident Rights include being informed of rights, rules, and responsibilities. The other options are quality of life protections and are certainly important in themselves.

Question 8

After a long-term care facility nurse receives a phone order from the physician, the nurse must ensure that the order is countersigned in

Accepted Answer

The telephone order should be countersigned within 24 hours.

Question 9

Historically, European countries in the 1700s housed older persons in institutions with

Accepted Answer

European countries created institutions to house mentally ill persons, orphans, old people, criminals, and persons with contagious diseases in order to separate them from the general population rather than care for them.

Question 10

Transfer from a long-term care facility is being considered for a combative resident.OBRA Resident Rights that impact this decision include

Accepted Answer

OBRA Resident Rights include the provision of a legitimate reason for the transfer. The other options are not included in the rights as published.

Question 11

The nurse plans programming at a nursing home understanding that the defining impairment that affects almost all residents in a nursing home is

Accepted Answer

Most residents have conditions that impair their self-help capacity or require interventions pertinent to their ADL that they cannot perform independently. About one half have cognitive impairment. About 4 of 10 residents have visual problems and about one third have hearing loss.

Question 12

The form of residential long-term care facility that offers the most personal freedom, as well as provision of meals, medication supervision, and personal care assistance, is

Accepted Answer

The assisted living center allows the greatest amount of personal freedom while supplying supervision, meals, and social activities. An adult day care center functions during daytime hours for activities, meals, assistance with personal care, and health care supervision. A nursing home has many regulations to which residents must adhere.

Quiz 9: Long-Term Care