Question 1

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. B

Question 2

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 A

Question 3

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 fraction of the US population live in a home setting?

Accepted Answer

A) 1/4 
B) 1/2 
C) 1/3 
D) 3/4 
A) 1/4 
B) 1/2 
C) 1/3 
D) 3/4 B

Question 4

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 5

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 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

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 8

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 health care provider 
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 health care provider 
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 9

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 10

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 11

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

Question 12

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 health care provider 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 health care provider visits. 
C) She will need to contract outside physical therapy services. 
D) She will probably be discharged within 6 months.

Question 13

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 14

The nurse suggests to a family caring for a member with early Alzheimer's 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 15

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

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) 1/4 
B) 1/3 
C) 1/2 
D) 2/3 
A) 1/4 
B) 1/3 
C) 1/2 
D) 2/3

Question 17

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 18

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 patient 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 19

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.

Question 20

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

Exam 38: Long-Term Care

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

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?

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 fraction of the US population live in a home setting?

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?

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 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?

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?

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

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

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?

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

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?

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

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

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?

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 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 patient expect to receive? (Select all that apply.)

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.)

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 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 Patients Environment

Safety

Admission,transfer,and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management,comfort,rest,and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan 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

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