Test 4 (Ch 38) Flashcards
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)
ANS: C
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 fraction of the US population live in a home setting?
a. 1/4
b. 1/2
c. 1/3
d. 3/4
ANS: B
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. 1/4
b. 1/3
c. 1/2
d. 2/3
ANS: C
What is the goal for services provided by home health care agencies?
a. Self-care
b. Assisted living
c. Rehabilitation
d. Improved function
ANS: C
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 health care provider
ANS: C
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
ANS: C
The nurse suggests to a family caring for a member with early Alzheimer’s 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.
ANS: C
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 health care provider
d. Intensive rehabilitation services
ANS: B
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.
ANS: B
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
ANS: A
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.
ANS: B
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 health care provider visits.
c. She will need to contract outside physical therapy services.
d. She will probably be discharged within 6 months.
ANS: D
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
ANS: C
What is the time limit for the legal administration of medications?
a. 30 minutes
b. 1 hour
c. 90 minutes
d. 2 hours
ANS: D
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
ANS: C