Question 1

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?

Accepted Answer

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)  Maintaining the patient at the optimal level 
B)  Assisting with funeral planning 
C)  Relieving the family of care 
D)  Maintaining comfort as death approaches D

Question 2

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?

Accepted Answer

A)  Team approach 
B)  Individualized approach 
C)  Interdisciplinary approach 
D)  Outgoing approach 
A)  Team approach 
B)  Individualized approach 
C)  Interdisciplinary approach 
D)  Outgoing approach C

Question 3

A daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay. Which of the following are important aspects of quality to consider when selecting a nursing home? (Select all that apply.)

Accepted Answer

A)  Privacy is respected 
B)  Staff members are task-focused 
C)  The staff welcomes family visits 
D)  There is a homelike environment 
E)  Rooms are maintained like a hospital 
A)  Privacy is respected 
B)  Staff members are task-focused 
C)  The staff welcomes family visits 
D)  There is a homelike environment 
E)  Rooms are maintained like a hospital A, C, D

Question 4

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?

Accepted Answer

A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Yearly 
A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Yearly

Question 5

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?

Accepted Answer

A)  Minimum Data Set (MDS) and the signature of the physician 
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)  Minimum Data Set (MDS) and the signature of the physician 
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

Question 6

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?

Accepted Answer

A)  Her regular hospitalization insurance will pay for the care. 
B)  She will still have daily physician visits. 
C)  She will need to contract outside physical therapy services. 
D)  She will probably be discharged within 6 months. 
A)  Her regular hospitalization insurance will pay for the care. 
B)  She will still have daily physician visits. 
C)  She will need to contract outside physical therapy services. 
D)  She will probably be discharged within 6 months.

Question 7

How often should the long-term care facility nurse make rounds and monitor residents for safety?

Accepted Answer

A)  Every 2 hours 
B)  Every 4 hours 
C)  Every 6 hours 
D)  Once per shift 
A)  Every 2 hours 
B)  Every 4 hours 
C)  Every 6 hours 
D)  Once per shift

Question 8

When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements, the nurse may refer this concern to the long-term care ____________ department.

Accepted Answer

DIETARY
Long-term facilities t

Question 9

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?

Accepted Answer

A)  A subacute care unit 
B)  An assisted living center 
C)  An adult day care center 
D)  A continuing care retirement community 
A)  A subacute care unit 
B)  An assisted living center 
C)  An adult day care center 
D)  A continuing care retirement community

Question 10

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?

Accepted Answer

A)  Medicare 
B)  Hospitalization insurance 
C)  Medicaid 
D)  Public health funds 
A)  Medicare 
B)  Hospitalization insurance 
C)  Medicaid 
D)  Public health funds

Question 11

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 percentage of people over 65 live in a home setting?

Accepted Answer

A)  42% 
B)  48% 
C)  55% 
D)  67% 
A)  42% 
B)  48% 
C)  55% 
D)  67%

Question 12

The nurse explains to a patient that shopping, using a phone, and administering his own medications are classified as ____________ activities of daily living.

Accepted Answer

INSTRUMENTAL
IADLs are more co

Question 13

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?

Accepted Answer

A)  Subacute unit setting 
B)  Long-term care facility (nursing home) 
C)  Assisted living center 
D)  Continuing care retirement center (CCR
C)  
A)  Subacute unit setting 
B)  Long-term care facility (nursing home) 
C)  Assisted living center 
D)  Continuing care retirement center (CCR
C)

Question 14

What is the goal for services provided by home health care agencies?

Accepted Answer

A)  Self-care 
B)  Assisted living 
C)  Rehabilitation 
D)  Improved function 
A)  Self-care 
B)  Assisted living 
C)  Rehabilitation 
D)  Improved function

Question 15

The LPN/LVN performs which function(s) when working as a staffing coordinator of a home health agency? (Select all that apply.)

Accepted Answer

A)  Scheduling appropriate care providers 
B)  Reviewing documentation 
C)  Verifying financial coverage 
D)  Making referrals 
E)  Performing comprehensive assessments 
A)  Scheduling appropriate care providers 
B)  Reviewing documentation 
C)  Verifying financial coverage 
D)  Making referrals 
E)  Performing comprehensive assessments

Question 16

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?

Accepted Answer

A)  $\frac { 1 } { 4 }$ 
B)  1/3 
C)  $\frac { 1 } { 2 }$ 
D)  2/3 
A)  $\frac { 1 } { 4 }$ 
B)  1/3 
C)  $\frac { 1 } { 2 }$ 
D)  2/3

Question 17

The Omnibus Budget Reconciliation Act (OBRA) defines the requirements for which aspect of care as it relates to long-term care?

Accepted Answer

A)  Nursing care 
B)  Nutritional support 
C)  Quality of care 
D)  Staffing requirements 
A)  Nursing care 
B)  Nutritional support 
C)  Quality of care 
D)  Staffing requirements

Question 18

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?

Accepted Answer

A)  The family 
B)  Other licensed care providers 
C)  Nonlicensed staff 
D)  The physician 
A)  The family 
B)  Other licensed care providers 
C)  Nonlicensed staff 
D)  The physician

Question 19

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:

Accepted Answer

A)  various licensing boards. 
B)  facility administrators. 
C)  the public. 
D)  the U.S. Department of Health and Human Services. 
A)  various licensing boards. 
B)  facility administrators. 
C)  the public. 
D)  the U.S. Department of Health and Human Services.

Question 20

What differentiates the services of a long-term care facility from that of an assisted living facility?

Accepted Answer

A)  Skilled nursing care 
B)  Personal care services 
C)  Weekly visits by the staff physician 
D)  Intensive rehabilitation services 
A)  Skilled nursing care 
B)  Personal care services 
C)  Weekly visits by the staff physician 
D)  Intensive rehabilitation services

Exam 37: Long-Term Care

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?

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 daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay. Which of the following are important aspects of quality to consider when selecting a nursing home? (Select all that apply.)

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?

What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?

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?

How often should the long-term care facility nurse make rounds and monitor residents for safety?

When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements, the nurse may refer this concern to the long-term care ____________ department.

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 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?

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 percentage of people over 65 live in a home setting?

The nurse explains to a patient that shopping, using a phone, and administering his own medications are classified as ____________ activities of daily living.

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?

What is the goal for services provided by home health care agencies?

The LPN/LVN performs which function(s) when working as a staffing coordinator of a home health agency? (Select all that apply.)

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?

The Omnibus Budget Reconciliation Act (OBRA) defines the requirements for which aspect of care as it relates to long-term care?

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?

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:

What differentiates the services of a long-term care facility from that of an assisted living facility?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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