Question 1

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 2

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 3

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 4

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 5

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

Question 6

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 7

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 nursing

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

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 10

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 11

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 12

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 13

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 14

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.

Exam 37: Long-Term Care

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

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

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:

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 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?

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?

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

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.

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

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?

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)?

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?

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?

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

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.