Nokea
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.
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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.
When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements, the nurse may refer this concern to the long-term care department.
- A. dietary
Correct Answer: dietary
Rationale: Long-term facilities take into consideration the patient's individual needs, including diet preferences. The dietary department is usually able to meet most requests.
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.
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.
An 82-year-old patient recovering from a hip replacement could be expected to move from the acute care hospital to which setting for rehabilitation?
- A. A subacute care unit
- B. An assisted living center
- C. An adult day care center
- D. A continuing care retirement community
Correct Answer: A
Rationale: Subacute units have a strong rehabilitative focus and a shorter length of stay than a long-term care center.