Nokea
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.
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A daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay. Which of the following are important aspects of quality to consider when selecting a nursing home?
- A. Privacy is respected.
- B. Staff members are task-focused.
- C. The staff welcomes family visits.
- D. There is a homelike environment.
- E. Rooms are maintained like a hospital.
Correct Answer: A,C,D
Rationale: It is important that privacy is respected, family members are welcomed, and a homelike environment is maintained. Staff members should be resident-focused, not task-focused. Rooms should be maintained like a home instead of like a hospital.
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.
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.
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.
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.