Long-term Care

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Question 1
Free
Multiple Choice

Historically, European countries in the 1700s housed older persons in institutions with

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A

farmers, who could use them as labor.

B

mentally ill persons.

C

older people of the same gender.

D

those of the same socioeconomic class.

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Question 2
Free
Multiple Choice

The enactment of Social Security in 1935 afforded older adults the ability to

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A

enter a city-sponsored nursing home.

B

purchase care privately.

C

receive care by a physician in the home.

D

stay in hospitals until completely well.

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Question 3
Free
Multiple Choice

The Hill-Burton Hospital Survey and Construction Act of 1946 provided building funds and resulted in nursing homes that

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A

allowed for flexible visiting hours.

B

resembled hospitals.

C

were located only in rural settings.

D

were to have at least 100 beds.

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Question 4
Free
Multiple Choice

In 1965 the enactment of Medicare and Medicaid provided older adults and poor persons with the assurance of

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A

a minimal level of health care.

B

a reasonable standard of living.

C

guaranteed housing.

D

increased food allowance funding.

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Question 5
Free
Multiple Choice

The Omnibus Budget Reconciliation Act of 1987 (OBRA) affected nursing homes by

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A

allowing residents more choice in the selection of a nursing home.

B

mandating that each resident have a private room and bath.

C

producing profound reforms in nursing home care.

D

providing for better funding to meet the needs of the residents.

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Question 6
Multiple Choice

The nurse plans programming at a nursing home understanding that the defining impairment that affects almost all residents in a nursing home is

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A
Alzheimer's disease or other cognitive deficit.
B
impairment in ability to perform activities of daily living (ADL).
C
profound hearing loss or other unspecified sensory deficit.
D
severe, progressive visual deficit.
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Question 7
Multiple Choice

A nurse teaching a new resident and family about the Resident Rights outlined by OBRA would include which information? A resident has the right to

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A
be informed of rights, rules, and responsibilities.
B
choose activities and care.
C
have clean, safe, home-like environment.
D
organize and participate in resident groups.
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Question 8
Multiple Choice

In regard to nursing services in a long-term care facility, OBRA regulations include

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A
a director of nursing that holds at least a master's degree in health administration.
B
availability of vocational nurses on each unit 24 hours a day, 7 days a week.
C
the presence of at least four direct caregivers on duty per unit for each shift, regardless of census.
D
the provision of nursing personnel consistent with the level of care and needs of residents.
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Question 9
Multiple Choice

The nurse admitting a new resident to a long-term care facility is mindful that after the resident is assessed, a care plan must be written within

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A
1 day.
B
3 days.
C
5 days.
D
7 days.
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Question 10
Multiple Choice

After a long-term care facility nurse receives a phone order from the physician, the nurse must ensure that the order is countersigned in

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A
8 hours.
B
12 hours.
C
24 hours.
D
48 hours.
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Question 11
Multiple Choice

The form of residential long-term care facility that offers the most personal freedom, as well as provision of meals, medication supervision, and personal care assistance, is

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A
adult day care center.
B
assisted living center.
C
nursing home.
D
transitional care setting.
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Question 12
Multiple Choice

Transfer from a long-term care facility is being considered for a combative resident.OBRA Resident Rights that impact this decision include

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A
a legitimate and documented reason for the transfer.
B
addressing the problem behavior in the care plan.
C
the family preventing the discharge through litigation.
D
the resident has the right to delay the transfer for 20 days.
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