Nokea
Unless indicated by unexpected events, documentation in a long-term care facility is usually done once per week.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Documentation occurs daily or per shift to ensure accurate and timely records of care.
You may also like to solve these questions
The people who live in long-term care facilities are generally referred to as , not patients.
- A. Clients
- B. Residents
- C. Inmates
- D. Guests
Correct Answer: B
Rationale: In long-term care facilities, individuals are referred to as residents to emphasize their home-like environment and autonomy, rather than the clinical term 'patients.'
Mr. Kaufmann, a 77-year-old man with Alzheimer's disease, has become combative with the nursing staff. You assign a male UAP to his care. Choose the best answer from the following possible explanations about this delegation decision.
- A. It is a good delegation decision because the male UAP can handle a patient who is combative better than a female UAP can.
- B. It is not a good delegation decision because two UAPs will be needed to provide his care.
- C. It is a good delegation decision only if you make yourself available to help if the patient is confused.
- D. It is a good delegation decision only if the patient who is combative is in wrist restraints.
Correct Answer: C
Rationale: The delegation is appropriate if the nurse ensures availability to assist, as combative behavior in Alzheimer's patients may require additional support, regardless of the UAP's gender or restraints.
Older adults may not empty their bladders completely when they void because of changes in neuromuscular functioning of the bladder muscle or, in men, enlargement of the prostate gland. Which of the following is a common complication of insufficient bladder emptying?
- A. Constipation from enlarged bladder pressing on lower gastrointestinal tract
- B. Renal failure
- C. Urinary tract infection
- D. Bladder spasms
Correct Answer: C
Rationale: Residual urine from incomplete bladder emptying increases the risk of urinary tract infections due to bacterial growth.
An 89-year-old female has been admitted to the long-term care (LTC) facility where you work. She had tried to remain independent, but her arthritis now prevents her from ambulating in her home even with a walker, and her children felt she would be safer in an LTC facility. What neurological effects should you monitor for?
- A. Confusion
- B. Depression
- C. Delirium
- D. Dementia
Correct Answer: B
Rationale: Depression is a common neurological effect in older adults transitioning to LTC due to loss of independence and social changes.
The occurrence of cerebrovascular accidents (stroke) increase with age. What is one of the risk factors that a person can change on their own to decrease the risk for stroke?
- A. Irregular heart beat
- B. Hypertension
- C. Diet high in saturated fats
- D. Diabetes
Correct Answer: B,C
Rationale: Hypertension and a diet high in saturated fats are modifiable risk factors that individuals can address to reduce stroke risk.