Nokea
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.
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The Omnibus Budget Reconciliation Act (OBRA) defines the requirements for which aspect of care as it relates to long-term care?
- A. Nursing care
- B. Nutritional support
- C. Quality of care
- D. Staffing requirements
Correct Answer: C
Rationale: OBRA defines requirements for the quality of care given to residents of long-term care facilities.
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.
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. Subacute unit setting
- B. Long-term care facility (nursing home)
- C. Assisted living center
- D. Continuing care retirement center (CCRC)
Correct Answer: C
Rationale: The assisted living center provides meals, transportation, social interaction, and a homelike quality without the intrusion of the medical model. The patient's age does not make her a reasonable candidate for a CCRC. The patient does not require acute skilled nursing care.
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.
What differentiates the services of a long-term care facility from that of an assisted living facility?
- A. Skilled nursing care
- B. Personal care services
- C. Weekly visits by the staff health care provider
- D. Intensive rehabilitation services
Correct Answer: B
Rationale: Assisted living is a type of residential care setting where the resident receives personal care services.