Nokea
The long-term care facility nurse recognizes that visiting the resident, changing his or her position, assessing for incontinence, providing skin care, and offering fluids are part of the nurse's responsibility. What does the initiation of these interventions provide?
- A. Continuity
- B. Safety
- C. Prevention
- D. Reassurance
Correct Answer: B
Rationale: Nursing interventions basic to long-term care include monitoring safety measures such as changing the resident's position every 2 hours, assessing for incontinence, providing skin care when needed, and offering fluids.
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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.
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.
The nurse assesses a patient's ability to perform self-care activities, as well as more complex social and household activities. What is provided from this assessment?
- A. Physical status
- B. Emotional status
- C. Health status
- D. Functional status
Correct Answer: D
Rationale: The functional status is related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
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.
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.