Nokea
The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center. What benefits should the patient expect to receive?
- A. Overnight care
- B. Respite care for the family
- C. Social interaction for the patient
- D. Mental stimulation for the patient
- E. Supporting maintenance of the ADLs
Correct Answer: B,C,D,E
Rationale: Overnight care is usually not offered from a day care center.
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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).
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.
Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?
- A. Her regular hospitalization insurance will pay for the care.
- B. She will still have daily health care provider visits.
- C. She will need to contract outside physical therapy services.
- D. She will probably be discharged within 6 months.
Correct Answer: D
Rationale: A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months. Regular hospitalization insurance does not cover long-term care. Daily health care provider visits do not occur in the long-term care facility.
A 48-year-old long-term care facility resident expresses concern that the cost of his care has used up his assets. For what program should the nurse suggest that the resident apply to cover the continued cost of living in a long-term facility?
- A. Medicare
- B. Hospitalization insurance
- C. Medicaid
- D. Public health funds
Correct Answer: C
Rationale: When adults have used all of their assets, they may then qualify for Medicaid. Medicaid is a federally funded, state-operated program of medical assistance for people with low incomes.
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.