Nokea
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?
- A. Weekly
- B. Every 90 days
- C. Monthly
- D. Every 6 months
Correct Answer: B
Rationale: In long-term care, the resident's plan of care is reviewed by the interdisciplinary team every 90 days for resolution of problems or revision of goals and interventions.
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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 nurse suggests to a family caring for a member with early Alzheimer's disease in their home that they investigate the services of an adult day care center. What is a major benefit of adult day care centers?
- A. It takes the patient out on recreational outings.
- B. It can provide daily hygiene.
- C. It expands social interaction.
- D. It is free to the public.
Correct Answer: C
Rationale: Adult day care centers are open a large part of the day and offer several modalities to enhance social interaction and also give the family respite.
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.
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.
How often should the long-term care facility nurse make rounds and monitor residents for safety?
- A. Every 2 hours
- B. Every 4 hours
- C. Every 6 hours
- D. Once per shift
Correct Answer: A
Rationale: Nursing interventions related to long-term care include making rounds and monitoring for resident safety every 2 hours.