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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?
- A. Daily
- B. Weekly
- C. Monthly
- D. Yearly
Correct Answer: C
Rationale: A summary, including vital signs and weight, is only required on a monthly basis.
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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.
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.
When a patient asks why he must be transferred to a subacute unit from the hospital, what would be an appropriate response by the nurse?
- A. Reimbursement guidelines limit adults' stays in an acute setting.
- B. The health care provider can oversee care more closely in a subacute setting.
- C. Financial restrictions of insurance limit time spent in an acute care setting.
- D. Cost and services at the acute care setting are the same as at the hospital.
Correct Answer: A
Rationale: In the acute care setting, strict rules about length of stay and limitations in cost reimbursement limit the amount of time adults can be hospitalized. These strict reimbursement rules for acute care do not apply, however, to subacute care provided in a skilled nursing facility setting.
The nurse explains to a patient that shopping, using a phone, and administering his own medications are classified as activities of daily living.
- A. instrumental
Correct Answer: instrumental
Rationale: IADLs are more complex skills than ADLs and indicate a higher level of independent functioning.
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.