Exam (elaborations)
Chapter 37 Long-Term Care
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 37 Long-Term Care
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Chapter 37: Long-Term CareMULTIPLE CHOICE
1. The home health nurse is assisting a family to select a long-term care facility for an 80-year-
old widow in good health who no longer drives, loves to play cards, can ambulate with a
walker, and is oriented. Which facility would be the best selection for this patient?
a. Subacute unit setting
b. Long-term care facility (nursing home)
c. Assisted living center
d. Continuing care retirement center (CCRC)
ANS: C
The assisted living center provides meals, transportation, social interaction, and a home-like
quality without the intrusion of the medical model. The patient‘s age does not make her a
reasonable candidate for a CCRC. The patient does not require acute skilled nursing care.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1184
OBJ: 2 TOP: Long-term care
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
2. The home health nurse helps an older adult couple plan changes in their home that will
facilitate care in their home as they age. What percentage of people over 65 live in a home
setting?
a. 42%
b. 48%
c. 55%
d. 67%
ANS: D
The majority (67%) of people over the age of 65 live in a home or family setting.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1181
OBJ: 2 TOP: Long-term care
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
3. 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.
b. 1/3
c.
d. 2/3
ANS: C
It costs approximately half as much to care for an older adult at home as it would cost in a
long-term care facility.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1182
, OBJ: 4 TOP: Long-term care
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
4. What is the goal for services provided by home health care agencies?
a. Self-care
b. Assisted living
c. Rehabilitation
d. Improved function
ANS: C
Services provided by home health care agencies are aimed at rehabilitation.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1182
OBJ: 8 TOP: Home health KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
5. The nurse clarifies to the family of a patient that one of the roles of the LPN/LVN in the home
care setting is to evaluate the care provided to the patient by which provider?
a. The family
b. Other licensed care providers
c. Nonlicensed staff
d. The physician
ANS: C
One of the roles of the LPN/LVN in the home care setting may be to evaluate the care
provided by CNAs, HHAs, homemakers, and personal care attendants.
PTS: 1 DIF: Cognitive Level: Application | Cognitive Level: Comprehension
REF: Page 1183 OBJ: 7 TOP: Home health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
6. 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
ANS: C
Hospice agencies provide care at the end of life. Medical certification is required for terminal
care.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1183
OBJ: 8 TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
7. The nurse suggests to a family caring for a member with early Alzheimer 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.
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