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When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements, the nurse may refer this concern to the long-term care department.
- A. dietary
Correct Answer: dietary
Rationale: Long-term facilities take into consideration the patient's individual needs, including diet preferences. The dietary department is usually able to meet most requests.
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The nurse suggests to a family caring for a member with early Alzheimer's disease in their home that they investigate the services of an adult day care center. What is a major benefit of adult day care centers?
- A. It takes the patient out on recreational outings.
- B. It can provide daily hygiene.
- C. It expands social interaction.
- D. It is free to the public.
Correct Answer: C
Rationale: Adult day care centers are open a large part of the day and offer several modalities to enhance social interaction and also give the family respite.
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.
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 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.
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.