Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55Long-term Care
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- Health Promotion and Disease PreventionHealth AssessmentCritical ThinkingComplementary and Alternative TherapiesAmbulatory Health CareAcute Health CareCritical CareHome Health CareLong-Term CareRehabilitationClients with Fluid ImbalancesClients with Electrolyte ImbalancesAcid-Base BalanceClients Having SurgeryPerspectives in GeneticsPerspectives in OncologyClients with CancerClients with WoundsPerspectives on Infectious Disease and BioterrorismClients with PainPerspectives in Palliative CareClients with Sleep and Rest Disorders and FatigueClients with Psychosocial and Mental Health ConcernsClients with Substance Abuse DisordersAssessment of the Musculoskeletal SystemManagement of Clients with Musculoskeletal DisordersManagement of Clients with Musculoskeletal Trauma or OveruseAssessment of Nutrition and the Digestive SystemManagement of Clients with MalnutritionManagement of Clients with Ingestive DisordersManagement of Clients with Digestive DisordersAssessment of EliminationManagement of Clients with Intestinal DisordersManagement of Clients with Urinary DisordersManagement of Clients with Renal DisordersManagement of Clients with Renal FailureAssessment of the Reproductive SystemManagement of Men with Reproductive DisordersManagement of Women with Reproductive DisordersManagement of Clients with Breast DisordersManagement of Clients with Sexually Transmitted InfectionsAssessment of the Endocrine and Metabolic SystemsManagement of Clients with Thyroid and Parathyroid DisordersManagement of Clients with Adrenal and Pituitary DisordersManagement of Clients with Diabetes MellitusManagement of Clients with Exocrine Pancreatic and Biliary DisordersManagement of Clients with Hepatic DisordersAssessment of the Integumentary SystemManagement of Clients with Integumentary DisordersManagement of Clients with Burn InjuryAssessment of the Vascular SystemManagement of Clients with Hypertensive DisordersManagement of Clients with Vascular DisordersAssessment of the Cardiac SystemManagement of Clients with Structural Cardiac DisordersManagement of Clients with Functional Cardiac DisordersManagement of Clients with DysrhythmiasManagement of Clients with Myocardial InfarctionAssessment of the Respiratory SystemManagement of Clients with Upper Airway DisordersManagement of Clients with Lower Airway and Pulmonary VesselManagement of Clients with Parenchymal and Pleural DisordersManagement of Clients with Acute Pulmonary DisordersAssessment of the Eyes and EarsManagement of Clients with Visual DisordersManagement of Clients with Hearing and Balance DisordersAssessment of the Neurologic SystemManagement of Comatose or Confused ClientsManagement of Clients with Cerebral DisordersManagement of Clients with StrokeManagement of Clients with Peripheral Nervous System DisordersManagement of Clients with Degenerative Neurologic DisordersManagement of Clients with Neurologic TraumaAssessment of the Hematopoietic SystemManagement of Clients with Hematologic DisordersManagement of Clients with Immune DisordersManagement of Clients with Rheumatic DisordersManagement of Clients with Acquired Immunodeficiency SyndromeManagement of Clients with Leukemia and LymphomaManagement of Clients Requiring TransplantationManagement of Clients with Shock and Multisystem DisordersManagement of Clients in the Emergency Department
Question 1
Free
Multiple Choice
Historically, European countries in the 1700s housed older persons in institutions with
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farmers, who could use them as labor.
mentally ill persons.
older people of the same gender.
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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enter a city-sponsored nursing home.
purchase care privately.
receive care by a physician in the home.
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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allowed for flexible visiting hours.
resembled hospitals.
were located only in rural settings.
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 minimal level of health care.
a reasonable standard of living.
guaranteed housing.
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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allowing residents more choice in the selection of a nursing home.
mandating that each resident have a private room and bath.
producing profound reforms in nursing home care.
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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Alzheimer's disease or other cognitive deficit.
impairment in ability to perform activities of daily living (ADL).
profound hearing loss or other unspecified sensory deficit.
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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be informed of rights, rules, and responsibilities.
choose activities and care.
have clean, safe, home-like environment.
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 director of nursing that holds at least a master's degree in health administration.
availability of vocational nurses on each unit 24 hours a day, 7 days a week.
the presence of at least four direct caregivers on duty per unit for each shift, regardless of census.
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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1 day.
3 days.
5 days.
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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8 hours.
12 hours.
24 hours.
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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adult day care center.
assisted living center.
nursing home.
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 legitimate and documented reason for the transfer.
addressing the problem behavior in the care plan.
the family preventing the discharge through litigation.
the resident has the right to delay the transfer for 20 days.
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