Question 1

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

Question 2

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

Question 3

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 B

Question 4

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

Question 5

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.

Question 6

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

Question 7

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.

Question 8

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

Question 9

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%

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

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

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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

Question 20

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

Exam 37: Long-Term Care