Chapter 37: Long-Term Care

Chapter 37: Long-Term Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE 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.

 

DIF:    Cognitive Level: Analysis                REF:   Page 1197      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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1194      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.	1/4
b.	1/3
c.	1/2
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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1195      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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1195      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.

 

DIF:    Cognitive Level: Application | Cognitive Level: Comprehension

REF:   Page 1196      OBJ:   7                    TOP:   Home health

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance