Nokea
Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the assistant.
- A. dental
- B. certified medication
- C. restorative nursing
- D. medical
Correct Answer: C
Rationale: These two members of the care team are unique to the long-term care facility. Both have had extra training over and above that of the certified unlicensed assistive personnel.
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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.
What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented?
- A. A weaker consumer complaint system
- B. Better training for state inspectors
- C. Program to support national criminal background checks
- D. Public disclosure of nursing home owners and operators
- E. Training of unlicensed assistive personnel in the care of people with dementia
Correct Answer: B,C,D,E
Rationale: The Affordable Care Act will result in a stronger consumer complaint system, better training for state inspectors, a program to support national criminal background checks, public disclosure of nursing home owners and operators, and training for unlicensed assistive personnel in the care of people with dementia.
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.
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.
When a patient asks why he must be transferred to a subacute unit from the hospital, what would be an appropriate response by the nurse?
- A. Reimbursement guidelines limit adults' stays in an acute setting.
- B. The health care provider can oversee care more closely in a subacute setting.
- C. Financial restrictions of insurance limit time spent in an acute care setting.
- D. Cost and services at the acute care setting are the same as at the hospital.
Correct Answer: A
Rationale: In the acute care setting, strict rules about length of stay and limitations in cost reimbursement limit the amount of time adults can be hospitalized. These strict reimbursement rules for acute care do not apply, however, to subacute care provided in a skilled nursing facility setting.