TERM 3- MY NOTES FOUNDATIONS OF NURSING CH.38 "Long-Term Care" Flashcards Preview

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Flashcards in TERM 3- MY NOTES FOUNDATIONS OF NURSING CH.38 "Long-Term Care" Deck (200)
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Long-Term Care

,

1

Long-term care is defined by the American Nurses Association (ANA) as the provision of physical, psychological, spiritual, social, and economic services to help people attain, maintain, and regain their optimum level of functioning.
A)true
B)false

A

2

It encompasses a range of services, including health maintenance and care, to people who have lost their ability to function independently because of a chronic illness or condition
A)long term care
B)acute care

A

3

The need for long-term care services arises after the acute stage of an illness has resolved, and when the patient continues to need services to support and maintain physical and psychological status and functional abilities.
A)true
B)false

A

4

Patients in need of long-term care are primarily older adults who are frail or disabled, but they are sometimes also young and middle-age adults, or even -children with chronic illnesses, developmental disabilities, or traumatic injuries.
A)true
B)false

A

5

It is possible to define quality of life as a measure of the optimum energy or force that endows a person with the power to cope successfully with the full range of challenges he or she encounters in the real world.
A)true
B)false

A

6

Quality of life is important in maintaining self-esteem and a sense of well-being, as well as experiencing the pleasures of life
A)true
B)false

A

7

Culture is a system of values, beliefs, and practices that guide a person's behavior.
A)true
B)false

A

8

Cultural influences play a large role in shaping patients' beliefs about health and illness, therefore greatly influencing health behaviors.
A)true
B)false

A

9

Ethnicity is a person's identification with a certain ethnic group based on shared traditions, national origin, physical characteristics, and other markers such as language, religion, food, and dress.
A)true
B)false

A

10

. Patient safety in any setting has and always will be a priority.
A)true
B)false

A

11

Cultural Considerations
Religion among Older Adult Populations

,

12

• In the long-term care facility, one goal of the interdisciplinary team is to provide opportunities for the resident to participate in worship services that support his or her religious beliefs. Worship services to meet spiritual needs are important; also encourage visitation and support from clergy of any denomination.

• Nursing, social services, and the dietary department provide support through an interdisciplinary team approach. The team discusses the care of the resident and the appropriateness of attendance at worship services.

• Dietary services take into consideration any food preferences or foods to avoid, based on the resident's culture and religion.

• The long-term care facility consistently provides opportunities to practice one's religious faith.

True

13

SETTINGS FOR LONG-TERM CARE

,

14

At present, numerous settings provide long-term care, but they all fall under one of three basic categories, from least restrictive to most restrictive:
1. The home
2. Residential care settings
3. Institutional settings

True

15

THE HOME

,

16

Most older adults live in a home setting, with only a small percentage of those age 65 and older residing in an institutional setting
A)true
B)false

A

17

Care of the older adult at home sometimes involves a great deal of participation from loved ones. Much of the responsibility for care often falls on women. Older women will in some cases be caring for a spouse, children, grandchildren, and even great-grandchildren in a multigenerational household.
A)true
B)false

A

18

It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility, unless the older adult has a great degree of physical impairment.
A)true
B)false

A

19

Although the typical home health patient is female, older than age 85, with circulatory or cardiac disorders, some home care patients require only minimal assistance, such as help with activities of daily living (ADLs), those routines of hygiene, dressing and grooming, toileting, eating, and ambulating each person carries out independently throughout life; others are perhaps receiving complex medical therapies such as mechanical ventilation and renal dialysis.
A)true
B)false

A

20

Services that home health agencies provide focus on rehabilitation with physical therapy, occupational therapy, speech therapy, respiratory therapy, access to social services, nutritional support by a registered dietitian, the rental or purchase of durable medical equipment, and nursing services.
A)true
B)false

A

21

Home health agencies offer nursing services from professionals including homeemakers, shoppers, respite care workers, personal care attendants, certified nursing assistants (CNAs), home health aides (HHAs), licensed practical nurses and licensed vocational nurses (LPNs/ LVNs), and registered nurses (RNs) to provide the more complex care and education.
A)true
B)false

A

22

In recent years, Medicare has developed two programs that promise to allow older adults with health care needs to continue living at home while receiving services. These programs are called Program of AllInclusive Care for the Elderly (PACE) and Social Managed Care Plan
A)true
B)false

A

23

PACE, on the other hand, has sites in 14 states and requires only that the patient be 55 years of age or older, live in a "service area," be screened by a group of health professionals, and sign and agree to enrollment terms.
A)true
B)false

A

24

PACE offers and manages all of the "medical, social, and rehabilitative services their enrollees need to preserve or restore their independence, to remain in their homes and communities, and to maintain their quality of life"
A)true
B)false

A

25

Role of the Licensed Practical Nurse/Licensed Vocational Nurse and the Registered Nurse

,

26

The LPN/ LVN also provides a valuable human resource as staffing coordinator, intake coordinator, or medical chart auditor or reviewer.
A)true
B)false

A

27

The staffing coordinator receives information from the intake coordinator describing the requested home care for the patient. The staffing coordinator, based on established protocols, schedules the appropriate care provider to meet the needs of the patient and verifies financial coverage for the care.
A)true
B)false

A

28

A medical chart auditor or reviewer uses knowledge of health care to fulfill the quality assurance documentation guidelines.
A)true
B)false

A

29

ln home health care, the RN provides intermittent visits for holistic care, supervisory home visits, comprehensive assessments, referrals, nursing interventions, health care education, health maintenance, and home management. Within the home health care agency, the RN also functions as a manager and administrator.
A)true
B)false

A