Nokea
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?
- A. Medicare
- B. Hospitalization insurance
- C. Medicaid
- D. Public health funds
Correct Answer: C
Rationale: When adults have used all of their assets, they may then qualify for Medicaid. Medicaid is a federally funded, state-operated program of medical assistance for people with low incomes.
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What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?
- 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
Correct Answer: C
Rationale: The RAI must be signed by the RN and contain the RAPs and MDS.
Although the Occupational Safety and Health Act (OSHA) increases the cost of care, what is a benefit that it provides for long-term care?
- 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.
Correct Answer: A
Rationale: The OSHA guidelines significantly increase costs, but they also ensure a safe environment for personnel, which is mandatory today.
What is the correct term for people who live in long-term care facilities?
- 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.
Correct Answer: B
Rationale: The older adult in a long-term care facility is referred to as a resident to reinforce the homelike environment.
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?
- 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
Correct Answer: B,C,D,E
Rationale: Overnight care is usually not offered from a day care center.
What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?
- 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.
Correct Answer: B
Rationale: CCRCs offer a complete range of health care services, from independent living to 24-hour skilled nursing. In most cases, signing a contract with a CCRC is a lifetime commitment.