Chapter 38: Long-Term Care

Chapter 38: Long-Term Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. To help the resident preserve a meaningful quality of life in a long-term care setting, the nurse will implement a(n):

a.	patient care plan.
b.	individualized approach.
c.	psychologically approved approach.
d.	physician-approved approach.

 

ANS:   B

Long-term care services are provided in a variety of settings and offer a broad spectrum of services. The specific setting used and services offered are based on the individual and unique needs of each patient. A patient-centered approach is needed to achieve and maintain an individualized approach and to assist the patient in preserving a meaningful quality of life.

 

DIF:    Cognitive Level: Application             REF:    Page 1193       OBJ:    7

TOP:    Long-term care                                   KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

2. 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. The best selection for this patient would be:

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

 

3. The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age. The nurse recognizes that what percentage of people over 65 live at home?

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: Application             REF:    Page 1194       OBJ:    2

TOP:    Long-term care                                   KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. 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 him or her 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: Analysis                  REF:    Page 1195       OBJ:    4

TOP:    Long-term care                                   KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance