Nokea
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.
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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.
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.
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.
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.
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.