Question 1

An older married couple is considering selling their home and moving into a continuing care retirement community (CCRC). The major benefit of a CCRC is:

Accepted Answer

A)  they provide affordable living for older adults. 
B)  they have all levels of care in one location, allowing community members to easily transition between levels. 
C)  they are paid for by Medicare. 
D)  they allow the older adult's family to retain ownership of the property after the owner dies. 
A)  they provide affordable living for older adults. 
B)  they have all levels of care in one location, allowing community members to easily transition between levels. 
C)  they are paid for by Medicare. 
D)  they allow the older adult's family to retain ownership of the property after the owner dies. B

Question 2

Which intervention addresses a right guaranteed a long-term care facility resident?

Accepted Answer

A)  Ethnic foods are made available to culturally diverse residents who would like them. 
B)  Each resident has access to a telephone in his or her room. 
C)  Family members are welcome at any time. 
D)  A professional hairdresser is available 3 days a week. 
A)  Ethnic foods are made available to culturally diverse residents who would like them. 
B)  Each resident has access to a telephone in his or her room. 
C)  Family members are welcome at any time. 
D)  A professional hairdresser is available 3 days a week. C

Question 3

Which statement made by a nurse regarding a resident of a long-term care facility requires followup by the nurse manager?

Accepted Answer

A)  "If he doesn't take his medication, he'll get no dessert tonight." 
B)  "She can't take a walk outdoors today; it's much too cold and snowy." 
C)  "The grandchildren have colds so they should not visit this week." 
D)  "I don't understand why, but she wants a different doctor to see her." 
A)  "If he doesn't take his medication, he'll get no dessert tonight." 
B)  "She can't take a walk outdoors today; it's much too cold and snowy." 
C)  "The grandchildren have colds so they should not visit this week." 
D)  "I don't understand why, but she wants a different doctor to see her." A

Question 4

Factors that are influencing the decrease in nursing home beds in the United States include: (Select all that apply.)

Accepted Answer

A)  an increase in the use of residential care facilities. 
B)  a shortage of certified nursing assistants (CNAs). 
C)  increased Medicaid reimbursement for community-based care alternatives. 
D)  a shortage of Registered Nurses who are certified in gerontology. 
E)  the high cost of care in a nursing home. 
A)  an increase in the use of residential care facilities. 
B)  a shortage of certified nursing assistants (CNAs). 
C)  increased Medicaid reimbursement for community-based care alternatives. 
D)  a shortage of Registered Nurses who are certified in gerontology. 
E)  the high cost of care in a nursing home.

Question 5

Which nursing evaluation supports the fact that the goals of long-term client care have been achieved? (Select all that apply.)

Accepted Answer

A)  Resident has participated in bath with minimal assistance from the staff. 
B)  Resident has experienced no falls since admission 3 months ago. 
C)  Resident continues to show loss of strength in upper extremities. 
D)  Resident is not required to dress or feed self since assistance is always available. 
E)  Resident demonstrates improved weight bearing on affected leg; discharge to be considered. 
A)  Resident has participated in bath with minimal assistance from the staff. 
B)  Resident has experienced no falls since admission 3 months ago. 
C)  Resident continues to show loss of strength in upper extremities. 
D)  Resident is not required to dress or feed self since assistance is always available. 
E)  Resident demonstrates improved weight bearing on affected leg; discharge to be considered.

Question 6

An older patient with dementia is referred for adult day services (ADS). The patient's daughter asks the nurse about the benefits of ADS. The nurse considers which of the following in formulating a response? (Select all that apply.)

Accepted Answer

A)  ADS are designed to provide social and some health services for older adults. 
B)  ADS are covered under Medicare Part B. 
C)  ADS offer respite services for caregivers from the responsibilities of caregiving. 
D)  ADS often provide educational programs and support groups for caregivers. 
E)  ADS are all staffed with registered nurses. 
A)  ADS are designed to provide social and some health services for older adults. 
B)  ADS are covered under Medicare Part B. 
C)  ADS offer respite services for caregivers from the responsibilities of caregiving. 
D)  ADS often provide educational programs and support groups for caregivers. 
E)  ADS are all staffed with registered nurses.

Question 7

A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)

Accepted Answer

A)  provides services to older people who would otherwise need a nursing home level of care. 
B)  does not provide services to participants who reside in a nursing home. 
C)  is only available to individuals who have both Medicare and Medicaid. 
D)  provides medications, eyeglasses, and transportation to care. 
E)  provides urgent and preventive care. 
A)  provides services to older people who would otherwise need a nursing home level of care. 
B)  does not provide services to participants who reside in a nursing home. 
C)  is only available to individuals who have both Medicare and Medicaid. 
D)  provides medications, eyeglasses, and transportation to care. 
E)  provides urgent and preventive care.

Question 8

Differences between subacute care and long term care include which of the following? (Select all that apply.)

Accepted Answer

A)  Subacute care is more costly than long term care. 
B)  Patients who receive subacute care have a usual length of stay of 1 month; long term care patients have an indefinite length of stay. 
C)  Medicare covers the costs of both subacute and long term care. 
D)  Subacute patients tend to be younger and more cognitively intact. 
E)  Subacute care is usually delivered in a hospital setting and long term care in a nursing home setting. 
A)  Subacute care is more costly than long term care. 
B)  Patients who receive subacute care have a usual length of stay of 1 month; long term care patients have an indefinite length of stay. 
C)  Medicare covers the costs of both subacute and long term care. 
D)  Subacute patients tend to be younger and more cognitively intact. 
E)  Subacute care is usually delivered in a hospital setting and long term care in a nursing home setting.

Question 9

Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Bill of Rights for Long-Term Care Residents?

Accepted Answer

A)  "It's so nice to have my hometown newspaper available here." 
B)  "Going out to the theater with the other residents is a nice social activity." 
C)  "I was told that if I didn't want to change rooms, I didn't have to." 
D)  "The whole place was decorated so beautifully for the holidays." 
A)  "It's so nice to have my hometown newspaper available here." 
B)  "Going out to the theater with the other residents is a nice social activity." 
C)  "I was told that if I didn't want to change rooms, I didn't have to." 
D)  "The whole place was decorated so beautifully for the holidays."

Question 10

An older adult is considering residential care/assisted living (RC/AL). The nurse knows that the older adult needs additional teaching when the older adult states which of the following?

Accepted Answer

A)  "I read a recent article that stated that almost half of older adults would move to an assisted living community if they could no longer care for themselves." 
B)  "I am happy that Medicare pays for the cost of living in an RC/AL." 
C)  "I will have to check with my long term care insurance company. I heard that it might pay for RC/AL." 
D)  "RC/AL costs significantly less than nursing home care." 
A)  "I read a recent article that stated that almost half of older adults would move to an assisted living community if they could no longer care for themselves." 
B)  "I am happy that Medicare pays for the cost of living in an RC/AL." 
C)  "I will have to check with my long term care insurance company. I heard that it might pay for RC/AL." 
D)  "RC/AL costs significantly less than nursing home care."

Exam 32: Long-Term Care

An older married couple is considering selling their home and moving into a continuing care retirement community (CCRC). The major benefit of a CCRC is:

Which intervention addresses a right guaranteed a long-term care facility resident?

Which statement made by a nurse regarding a resident of a long-term care facility requires followup by the nurse manager?

Factors that are influencing the decrease in nursing home beds in the United States include: (Select all that apply.)

Which nursing evaluation supports the fact that the goals of long-term client care have been achieved? (Select all that apply.)

An older patient with dementia is referred for adult day services (ADS). The patient's daughter asks the nurse about the benefits of ADS. The nurse considers which of the following in formulating a response? (Select all that apply.)

A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)

Differences between subacute care and long term care include which of the following? (Select all that apply.)

Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Bill of Rights for Long-Term Care Residents?

An older adult is considering residential care/assisted living (RC/AL). The nurse knows that the older adult needs additional teaching when the older adult states which of the following?

Health and Wellness in an Aging Society

Gerontological Nursing: Past Present and Future

Theories of Aging

Cross Cultural Caring and Aging

Cognition and Learning

Communicating with Older Adults

Health Assessment

Laboratory Values and Diagnostics

Geropharmacology

The Use of Herbs and Supplements

Vision

Hearing

Skin Care

Nutrition

Hydration and Oral Care

Elimination

Sleep

Physical Activity and Exercise

Falls and Fall Risk Reduction

Safety and Security

Living Well with Chronic Illness

Cardiovascular and Cerebrovascular Health and Illness

Neurodegenerative Disorders

Endocrine and Immune Disorders

Respiratory Health and Illness

Common Musculoskeletal Concerns

Pain and Comfort

Mental Health

Care of Individuals with Neurocognitive Disorders

Economics and Health Care in Later Life

Common Legal and Ethical Issues

Intimacy and Sexuality

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

Self-Actualization, Spirituality, and Transcendence

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