Nokea
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?
- 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.
Correct Answer: A,C,D
Rationale: It is important that privacy is respected, family members are welcomed, and a homelike environment is maintained. Staff members should be resident-focused, not task-focused. Rooms should be maintained like a home instead of like a hospital.
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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?
- A. 1/4
- B. 1/2
- C. 1/3
- D. 3/4
Correct Answer: B
Rationale: Approximately (11.3 million) of the US population over the age of 65 live in a home or family setting.
What is the goal for services provided by home health care agencies?
- A. Self-care
- B. Assisted living
- C. Rehabilitation
- D. Improved function
Correct Answer: C
Rationale: Services provided by home health care agencies are aimed at rehabilitation.
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:
- A. various licensing boards.
- B. facility administrators.
- C. the public.
- D. the US Department of Health and Human Services.
Correct Answer: C
Rationale: Surveyors are required by law to visit the long-term care facility unannounced, on an annual basis and as needed, and the report is made public.
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?
- 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
Correct Answer: D
Rationale: Hospice care is focused on the provision of comfort to the person who is approaching death. While hospice will assist with funeral planning as needed, it is not the focus of care. Hospice provides respite for the family, but hospice does not relieve the family of care duties.
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?
- 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.
Correct Answer: D
Rationale: A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months. Regular hospitalization insurance does not cover long-term care. Daily health care provider visits do not occur in the long-term care facility.