Nokea
What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?
- A. Admittance is limited to people who are relatively unimpaired.
- B. A contract is usually a lifetime commitment.
- C. A contract is an acceptable tax shelter.
- D. Contracts can be signed on a month-to-month basis.
Correct Answer: B
Rationale: CCRCs offer a complete range of health care services, from independent living to 24-hour skilled nursing. In most cases, signing a contract with a CCRC is a lifetime commitment.
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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.
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.
The nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing the older adult in a long-term care facility?
- A. 1/4
- B. 1/3
- C. 1/2
- D. 2/3
Correct Answer: C
Rationale: It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility.
A 48-year-old long-term care facility resident expresses concern that the cost of his care has used up his assets. For what program should the nurse suggest that the resident apply to cover the continued cost of living in a long-term facility?
- A. Medicare
- B. Hospitalization insurance
- C. Medicaid
- D. Public health funds
Correct Answer: C
Rationale: When adults have used all of their assets, they may then qualify for Medicaid. Medicaid is a federally funded, state-operated program of medical assistance for people with low incomes.
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.