T1: Chronic Care (CH 34)

Question 1

Long-term care (LTC) facilities are becoming more __ and __.

Answer 1

complex and dynamic

Question 2

Consumers are more informed of standards of __

Answer 2

care

Question 3

Nurses have the ability to establish long-term (LT) relationships with their patients and practice __ __

Answer 3

healing arts

Question 4

History of a __ image overshadows positive aspects of care

Answer 4

negative

Question 5

The media does highlight abuse and substandard conditions but it’s a __ __ of facilities.

Answer 5

small minority

Question 6

A place for someone to live and the residents were expected to do their own work and clean and make food.

Answer 6

Almshouses

Question 7

A vision and clear model for __ __ __ is necessary

Answer 7

long term care

Question 8

When nursing fails to exercise leadership, non-nurses determine __ __

Answer 8

nursing practice

Question 9

When nursing does not attempt to correct problems in the heath care system, others will, and public perception will be that nurses are __ __ __ __.

Answer 9

part of the problem

Question 10

___ thinking can benefit nursing and patients.

Answer 10

Entrepreneurial

Question 11

Nursing homes are now referred to as ___ facilities

Answer 11

Long-term care (LTC)

Question 12

A larger percentage of licensed staff are certified __ __.

Answer 12

nursing assistants

Question 13

___ have been made due to federal regulations and increased professional interest.

Answer 13

Improvements

Question 14

___ use of restraints in LTC.

Answer 14

Decreased

Question 15

Improved ___ in LTC.

Answer 15

documentation

Question 16

Regulations describe minimum ___

Answer 16

standards

Question 17

Minimum standards to be licensed and ___

Answer 17

certified

Question 18

__ __ publishes higher standards that facilities can choose to follow

Answer 18

Joint Commission

Question 19

__ __ determines the need for LTC placement.

Answer 19

Functional ability

Question 20

A crisis situation may trigger the need for placement in a __ __

Answer 20

nursing home

Question 21

Their is a need for __ __ nurses

Answer 21

highly competent

Question 22

__ __ communities have care for individuals with less complex needs

Answer 22

assisted living

Question 23

Less stringent regulations in __ __ communities.

Answer 23

assisted living

Question 24

Key elements of the culture change movement:

Answer 24

Creating a home-like environment
Consistent staff assignments
Individualized care
Nurturing positive relationships
Staff education
Empowering residents and their caregivers

Question 25

LTC emerged without a clearly __ __.

Answer 25

defined model

Question 26

Hierarchy of resident needs:

3 H’s

Answer 26

hygiene
holism
healing

Question 27

Increased numbers of older adults with ___ and/or ___ are receiving long-term health and social services in their personal residencies.

Answer 27

chronic conditions and/or disabilities

Question 28

Focuses on designing the ideal nursing home

Answer 28

The Green House Project

Question 29

What program puts an emphasis on quality improvement (QI) measures?

Answer 29

Wellspring Program

Question 30

Offers residents a life worth living

Answer 30

Eden Alternative