Question 1

Two unique members of the caregiving team in a long-term care facility are the ___________ ___________ aide/technician and the ___________ _____________ assistant.

Accepted Answer

CERTIFIED MEDICATION, RESTORATIVE NURSIN

Question 2

What is the time limit for the legal administration of medications?

Accepted Answer

A)  30 minutes 
B)  1 hour 
C)  90 minutes 
D)  2 hours 
A)  30 minutes 
B)  1 hour 
C)  90 minutes 
D)  2 hours

Question 3

What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?

Accepted Answer

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)  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.

Question 4

What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented? (Select all that apply.)

Accepted Answer

A)  A weaker consumer complaint system 
B)  Better training for state inspectors 
C)  Program to support national criminal background checks 
D)  Public disclosure of nursing home owners and operators 
E)  Training of nursing assistants in the care of people with dementia 
A)  A weaker consumer complaint system 
B)  Better training for state inspectors 
C)  Program to support national criminal background checks 
D)  Public disclosure of nursing home owners and operators 
E)  Training of nursing assistants in the care of people with dementia

Question 5

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?

Accepted Answer

A)  Weekly 
B)  Every 90 days 
C)  Monthly 
D)  Every six months 
A)  Weekly 
B)  Every 90 days 
C)  Monthly 
D)  Every six months

Question 6

What is the correct term for people who live in long-term care facilities?

Accepted Answer

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)  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

Question 7

The nurse suggests to a family caring for a member with early Alzheimer 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?

Accepted Answer

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)  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.

Question 8

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?

Accepted Answer

A)  Timely 
B)  Patient-centered 
C)  Preferential 
D)  Categorized 
A)  Timely 
B)  Patient-centered 
C)  Preferential 
D)  Categorized

Question 9

The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center. What benefits should the client expect to receive? (Select all that apply.)

Accepted Answer

A)  Overnight care 
B)  Respite care for the family 
C)  Social interaction for the patient 
D)  Mental stimulation for the patient 
E)  Supporting maintenance of the ADLs 
A)  Overnight care 
B)  Respite care for the family 
C)  Social interaction for the patient 
D)  Mental stimulation for the patient 
E)  Supporting maintenance of the ADLs

Question 10

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?

Accepted Answer

A)  Physical status 
B)  Emotional status 
C)  Health status 
D)  Functional status 
A)  Physical status 
B)  Emotional status 
C)  Health status 
D)  Functional status

Question 11

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?

Accepted Answer

A)  Reimbursement guidelines limit adults' stays in an acute setting. 
B)  The physician can oversee care more closely in a subacute setting. 
C)  Financial restrictions of insurance limit time spent in an acute care setting. 
D)  Cost and services at the acute care setting are the same as at the hospital. 
A)  Reimbursement guidelines limit adults' stays in an acute setting. 
B)  The physician can oversee care more closely in a subacute setting. 
C)  Financial restrictions of insurance limit time spent in an acute care setting. 
D)  Cost and services at the acute care setting are the same as at the hospital.

Question 12

Although the Occupational Safety and Health Act (OSHA) increases the cost of care, what is a benefit that it provides for long-term care?

Accepted Answer

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)  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.

Question 13

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?

Accepted Answer

A)  A family request 
B)  A patient request 
C)  Medical certification 
D)  A referral by a hospice nurse 
A)  A family request 
B)  A patient request 
C)  Medical certification 
D)  A referral by a hospice nurse

Question 14

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?

Accepted Answer

A)  Continuity 
B)  Safety 
C)  Prevention 
D)  Reassurance 
A)  Continuity 
B)  Safety 
C)  Prevention 
D)  Reassurance

Exam 37: Long-Term Care

Two unique members of the caregiving team in a long-term care facility are the ___________ ___________ aide/technician and the ___________ _____________ assistant.

What is the time limit for the legal administration of medications?

What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?

What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented? (Select all that apply.)

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?

What is the correct term for people who live in long-term care facilities?

The nurse suggests to a family caring for a member with early Alzheimer 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?

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?

The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center. What benefits should the client expect to receive? (Select all that apply.)

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?

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?

Although the Occupational Safety and Health Act (OSHA) increases the cost of care, what is a benefit that it provides for long-term care?

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?

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?

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

Filters

Two unique members of the caregiving team in a long-term care facility are the _____ _ aide/technician and the _ _______ assistant.