Nokea
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.
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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.
What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?
- A. Minimum Data Set (MDS) and the signature of the health care provider
- B. Resident Assessment Protocols (RAPs) and the drug list
- C. Minimum Data Set, Resident Assessment Protocols, and the RN's signature
- D. Resident Assessment Protocols and the signature of the administrator
Correct Answer: C
Rationale: The RAI must be signed by the RN and contain the RAPs and MDS.
The nurse clarifies to the family of a patient that one of the roles of the LPN/LVN in the home care setting is to evaluate the care provided to the patient by which provider?
- A. The family
- B. Other licensed care providers
- C. Nonlicensed staff
- D. The health care provider
Correct Answer: C
Rationale: One of the roles of the LPN/LVN in the home care setting may be to evaluate the care provided by CNAs, HHAs, homemakers, and personal care attendants.
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 Omnibus Budget Reconciliation Act (OBRA) defines the requirements for which aspect of care as it relates to long-term care?
- A. Nursing care
- B. Nutritional support
- C. Quality of care
- D. Staffing requirements
Correct Answer: C
Rationale: OBRA defines requirements for the quality of care given to residents of long-term care facilities.