Week 5

Question 1

T/F: In an Assisted Living facility, OT’s role is consultative
in nature

Answer 1

True: most of the people in AL only require minimal assistance with basic ADL and medication management

Question 2

T/F:In an Assisted Living facility, OT’s role is to foster and enhance habits and routines, personal care skills and simple home care, leisure activities with environmental supports (assistive tech.)

Answer 2

True

Question 3

T/F: The three settings OT’s will work with (in this class’ context) are: Assisted Living, SNF, and ECF (extended care facility)

Answer 3

True

Question 4

Can residents in assisted living receive skilled medical care ?

Answer 4

No

Question 5

T/F: With Medicare, 365 days of stay at a SNF is covered.

Answer 5

False, 100 days

Question 6

T/F: Approx. 1.4 million people live in nursing homes.

Answer 6

True

Question 7

Omnibus Budget Reconciliation Act (OBRA) was legislation that was a catalyst for change in nursing homes.

Answer 7

T - OBRA focused on wellness and nursing homes now were accountable for following state/national guidelines, or else…

Question 8

Under OBRA, three main categories of nursing homes care are: skilled (high-level medical care), rehabilitative (improvements expected with discharge to less restrictive environment), true long term care

Answer 8

True

Question 9

T/F: 50% of 85+ live in nursing homes

Answer 9

True

Question 10

Regulations DO specifically name OT as the provider for residents in long-term care in regards to function, activity, etc…

Answer 10

False - they don’t , it can be qualified therapeutic recreation specialist or activities professional, someone with 2 years of experience in a social or recreational program, someone who has completed a training course approved by the state, OR AN OT.

Question 11

T/F: In LTC settings , not only is it about occupational deprivation and disempowerment, but communication between interdisciplinary team members is challenging.

Answer 11

Hell yeah bro

Question 12

T/F: The Green House Project/Eden Alternative, Wellspring Model, LEAP Initiative, and Village to Village models are examples of suggested paradigm shifts from a medical model to person-centered model in nursing homes.

Answer 12

True

Question 13

T/F: The Eden Alternative encourages a more homelike environment in the nursing home and to allow direct-care workers to be more involved in decision making.

Answer 13

True

Question 14

T/F: “Green Houses” provide a structural alternative in the form of specially designed houses for elderly residents as well as the empowerment of direct-care workers

Answer 14

True

Question 15

The Wellspring Model encourages nursing homes to work together to teach line staff the best clinical practices and to move away from the typical nursing home culture of control

Answer 15

True

Question 16

The LEAP initiative alters how the nursing home workforce is viewed and treated by nursing home management.

Answer 16

True

Question 17

Psychological empowerment refers to an individual’s feeling or perception of his/her contribution to the workplace and typically includes: meaningfulness of the work, perceived competency or self efficacy, one’s self-determination and one’s perceived impact on outcomes

Answer 17

True

Question 18

Shared governance is a dynamic partnership that promotes collaboration, shared decision making and accountability for improving quality of care, safety, and enhancing work life.

Answer 18

True

Question 19

Shared governance is based on principles of autonomy, shared decision making, and engaged participation.

Answer 19

True

Question 20

Shared governance does not empower both residents and staff!

Answer 20

False

Question 21

Personal characteristics that have been reported to affect a CNA’s structural decision-making include gender, positive attitudes, emotional exhaustion and one’s perceived work.

Answer 21

True