Nokea
The family caring for an older adult in their home feels that they need assistance from a hospice service. What is necessary for hospice service to be initiated?
- A. A family request
- B. A patient request
- C. Medical certification
- D. A referral by a hospice nurse
Correct Answer: C
Rationale: Hospice agencies provide care at the end of life. Medical certification is required for terminal care.
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What is the time limit for the legal administration of medications?
- A. 30 minutes
- B. 1 hour
- C. 90 minutes
- D. 2 hours
Correct Answer: D
Rationale: In long-term care, there is a 2-hour window for legal administration of medications, 1 hour before and 1 hour after the official administration time.
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.
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.
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.
In the long-term care facility, health care professionals work together to meet the needs of older adults and to go over the care plan with the resident and family members. What is this approach called?
- A. Team approach
- B. Individualized approach
- C. Interdisciplinary approach
- D. Outgoing approach
Correct Answer: C
Rationale: The long-term care facility is an interdisciplinary setting.