Nokea
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.
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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.
What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented?
- A. A weaker consumer complaint system
- B. Better training for state inspectors
- C. Program to support national criminal background checks
- D. Public disclosure of nursing home owners and operators
- E. Training of unlicensed assistive personnel in the care of people with dementia
Correct Answer: B,C,D,E
Rationale: The Affordable Care Act will result in a stronger consumer complaint system, better training for state inspectors, a program to support national criminal background checks, public disclosure of nursing home owners and operators, and training for unlicensed assistive personnel in the care of people with dementia.
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 nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing the older adult in a long-term care facility?
- A. 1/4
- B. 1/3
- C. 1/2
- D. 2/3
Correct Answer: C
Rationale: It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility.
The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident. What does this allow the planning process to become?
- A. Timely
- B. Patient-centered
- C. Preferential
- D. Categorized
Correct Answer: B
Rationale: The planning process must be patient-centered.