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2024 GERONTOLOGICAL NURSING CH 1-3 EXAM WITH ANSWERS
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2024 GERONTOLOGICAL NURSING CH 1-3 EXAM WITH ANSWERS
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2024 GERONTOLOGICAL NURSINGCH 1-3 EXAM WITH ANSWERS
2024
Aging is determined by: - CORRECT-ANSWERSSociety and Culture
What are the most frequent reasons for hospitalizations? - CORRECT-
ANSWERSExacerbation of chronic illnesses and injuries
Are hospitals safe places for the elderly? - CORRECT-ANSWERSNo; 34%
experience functional decline and Iatrogenic complications occur between
29-38% of all older hospitalized patients.
What will CMS do when it deems that hospitals are providing poor care to
older adults? - CORRECT-ANSWERSThey will reduce reimbursements
especially in the cases of CAUTIs, Pressure Ulcers, Falls, DVT, and C. Diff.
What comprises LTC? - CORRECT-ANSWERSA variety of services including
medical and non-medical care, provided on an ongoing basis to people of all
ages who have a chronic illness of physical, cognitive, or developmental
disability.
Who provides most of the care for people with LTC? - CORRECT-
ANSWERSThey need to live in their own home with family, friends, and
volunteers providing most of their care.
Why is the number of older people needing LTC services dramatically
increasing? - CORRECT-ANSWERSThe majority of baby boomers will need
some form of LTC and 33% will spend at least 3 months in a nursing home.
Which age group is most likely to need long term care? - CORRECT-
ANSWERSThose 80 years old or older; the number of people over 80 will
increase 233% between 2008 and 2040.
Nursing Homes; Cost of Care - CORRECT-ANSWERSAverages $212/day or
$90,000/year. Majority of cost is paid by Medicaid and then Medicare, and
then pocket.
If a patient only has medicare, how many days will a nursing home facility
take them for? - CORRECT-ANSWERS20 days.
, What is the predicted increase in the need for registered nurses in LTC? -
CORRECT-ANSWERS41%
How many RN are required in a nursing facility at a time for 8 hours? -
CORRECT-ANSWERSOnly 1 RN
What are the main focuses of RN direct-care time per resident? - CORRECT-
ANSWERSFewer pressure ulcers, fewer hospitalizations, fewer urinary tract
infection, less weight loss, fewer caths, and less deterioration in the ability to
perform ADLs.
The main employees that provide the majority of direct care in nursing
homes and contribute to the quality of life for residents are who? - CORRECT-
ANSWERSThe CNAs and PCAs.
True or False; Acute care and LTC require DIFFERENT nursing skills,
judgment, and knowledge, but the nursing role is similarly demanding in
both setting. - CORRECT-ANSWERSTrue
Omnibus Reconciliation Act 1986 - CORRECT-ANSWERSElder abuse in olden
times led to this act which increased staff training/ratios, eliminated use of
medications and restraints for purpose of discipline or convenience, and
provided quality assurance activities.
Long-Term Ombudsman Program - CORRECT-ANSWERSprovides trained
volunteers to investigate rights and quality complains or conflicts. Each
facility is required to post name/contact info of each ombudsman assigned to
the facility.
Transitions are highly stressful and vulnerable to breakdowns in care
because of which two main problems? - CORRECT-ANSWERS1. Medication
discrepancies
2. Pt./family are often under prepared and overwhelmed by discharge
instructions/info
How many transfers will be re-hospitalized within 30 days? - CORRECT-
ANSWERS1/4; most of these transfers can be avoided
Gaps in care? - CORRECT-ANSWERSPoor communication, incomplete transfer
of communication, limited access to essential services.
Who are the older adults most at risk for gaps of care? - CORRECT-
ANSWERS1. Isolated elders w/o family/friends
2. Non-English speakers, recent immigrants
3. Racially/ethnically diverse elders
4. Multiple medical conditions or depression
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