Nokea
What is the correct term for people who live in long-term care facilities?
- A. Patients, because they will be receiving acute care.
- B. Residents, because the facility has become their home.
- C. Patients, because they seek professional medical services.
- D. Customers, because they are purchasing care service.
Correct Answer: B
Rationale: The older adult in a long-term care facility is referred to as a resident to reinforce the homelike environment.
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The family caring for an older adult in their home feels that they need assistance from a hospice service. What is necessary for hospice service to be initiated?
- A. A family request
- B. A patient request
- C. Medical certification
- D. A referral by a hospice nurse
Correct Answer: C
Rationale: Hospice agencies provide care at the end of life. Medical certification is required for terminal care.
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.
In the long-term care facility, health care professionals work together to meet the needs of older adults and to go over the care plan with the resident and family members. What is this approach called?
- A. Team approach
- B. Individualized approach
- C. Interdisciplinary approach
- D. Outgoing approach
Correct Answer: C
Rationale: The long-term care facility is an interdisciplinary setting.
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.
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.