Nokea
Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?
- A. Her regular hospitalization insurance will pay for the care.
- B. She will still have daily health care provider visits.
- C. She will need to contract outside physical therapy services.
- D. She will probably be discharged within 6 months.
Correct Answer: D
Rationale: A short-stay resident in a long-term care facility for rehabilitation will have residential physical therapy services and will usually be discharged within 6 months. Regular hospitalization insurance does not cover long-term care. Daily health care provider visits do not occur in the long-term care facility.
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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.
The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center. What benefits should the patient expect to receive?
- A. Overnight care
- B. Respite care for the family
- C. Social interaction for the patient
- D. Mental stimulation for the patient
- E. Supporting maintenance of the ADLs
Correct Answer: B,C,D,E
Rationale: Overnight care is usually not offered from a day care center.
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.
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.