Test 4 (Ch 38) Flashcards

1
Q

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)

A

ANS: C

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2
Q

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

A

ANS: B

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3
Q

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

A

ANS: C

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4
Q

What is the goal for services provided by home health care agencies?
a. Self-care
b. Assisted living
c. Rehabilitation
d. Improved function

A

ANS: C

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5
Q

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

A

ANS: C

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6
Q

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

A

ANS: C

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7
Q

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.

A

ANS: C

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8
Q

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

A

ANS: B

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9
Q

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.

A

ANS: B

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10
Q

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

A

ANS: A

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11
Q

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.

A

ANS: B

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12
Q

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.

A

ANS: D

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13
Q

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

A

ANS: C

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14
Q

What is the time limit for the legal administration of medications?
a. 30 minutes
b. 1 hour
c. 90 minutes
d. 2 hours

A

ANS: D

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15
Q

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

A

ANS: C

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16
Q

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 US Department of Health and Human Services.

A

ANS: C

17
Q

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

A

ANS: C

18
Q

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.

A

ANS: A

19
Q

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

A

ANS: D

20
Q

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?
a. Minimum Data Set (MDS) and the signature of the health care provider
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

A

ANS: C

21
Q

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

A

ANS: D

22
Q

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

A

ANS: C

23
Q

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 6 months

A

ANS: B

24
Q

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

A

ANS: B

25
Q

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

A

ANS: B

26
Q

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

A

ANS: A

27
Q

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 health care provider can oversee care more closely in a subacutesetting.
c. Financial restrictions of insurance limit time spent in an acute caresetting.
d. Cost and services at the acute care setting are the same as at the hospital.

A

ANS: A

28
Q

Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the assistant.
a. dental
b. certified medication
c. restorative nursing
d. medical

A

ANS: C