Nokea
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.
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How often should the long-term care facility nurse make rounds and monitor residents for safety?
- A. Every 2 hours
- B. Every 4 hours
- C. Every 6 hours
- D. Once per shift
Correct Answer: A
Rationale: Nursing interventions related to long-term care include making rounds and monitoring for resident safety every 2 hours.
The LPN/LVN performs which functions when working as a staffing coordinator of a home health agency?
- A. Scheduling appropriate care providers
- B. Reviewing documentation
- C. Verifying financial coverage
- D. Making referrals
- E. Performing comprehensive assessments
Correct Answer: A,C
Rationale: Reviewing documentation may be done by an LPN/LVN but not in the role of staffing coordinator but as a medical chart auditor or reviewer. Scheduling care providers and verifying financial coverage are among the duties of the staffing coordinator. Making referrals and performing comprehensive assessments are duties of the RN.
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.
The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age. What fraction of the US population live in a home setting?
- A. 1/4
- B. 1/2
- C. 1/3
- D. 3/4
Correct Answer: B
Rationale: Approximately (11.3 million) of the US population over the age of 65 live in a home or family setting.
Although the Occupational Safety and Health Act (OSHA) increases the cost of care, what is a benefit that it provides for long-term care?
- A. It ensures a safe environment for personnel.
- B. It ensures that medications are administered safely.
- C. It ensures that food is prepared safely.
- D. It ensures safe ambulation and transportation of patients.
Correct Answer: A
Rationale: The OSHA guidelines significantly increase costs, but they also ensure a safe environment for personnel, which is mandatory today.