Nokea
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.
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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.
In a long-term care facility, the nurse takes an active part in formulating the resident's plan of care. How often is the plan of care revised?
- A. Weekly
- B. Every 90 days
- C. Monthly
- D. Every 6 months
Correct Answer: B
Rationale: In long-term care, the resident's plan of care is reviewed by the interdisciplinary team every 90 days for resolution of problems or revision of goals and interventions.
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 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 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.