Caregiving 430 Exam #3 Questions and Answers (100% Verified Answers) Latest Update 2023, Exams of Nursing

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Who are today's caregivers? - Correct Answers ✅-80%of home care is provided by unpaid family member or friend -nurse, home health or home care aide, or therapist that comes to the home -adult day service providers -staff of long-term care facilities -about2/3 are women -14% are 65 and older On average, how many hours per week do caregivers provide care? - Correct Answers ✅around 20 hours/week What are distance caregivers? - Correct Answers ✅People that provide care for a family member that resides an average of 450 miles away. 3-6 million americans How can types of illnesses impact caregiving? - Correct Answers ✅-Caring for someone with Alzheimer's disease, other dementias, or other brain- impairing disorders can be more stressful than caring for someone with a physical impairment. -Caring for someone with a cognitive disorder can be a 24/7 job due to the unpredictability of the care recipient's behavior. What is long-distance caregiving? - Correct Answers ✅defined as care provided by a caregiver living more than an hour away from the care recipient.

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How can the distance between the caregiver and care recipient impact caregiving? - Correct Answers ✅· The caregiver's role is not as much "hands- on" as it is gathering information about available resources, coordinating services and putting together a "team" of family, friends and paid help that can meet the care recipient's needs How can urban versus rural settings impact caregiving? - Correct Answers ✅Rural caregivers face unique challenges. These include fewer available formal services, fewer physicians and health education services, transportation difficulties, weather problems in winter, geographic distance and isolation. How can different cultural approaches impact caregiving? - Correct Answers ✅-There are many histories, traditions and rituals to caregiving. -In many cultures, there are family expectations about the caregiving roles of adult children; this is especially true in cultures where daughters or daughters-in-law are expected to assume the primary caregiver role for aging parents. In the U.S, how are ethnic caregivers compared to white caregivers? - Correct Answers ✅Studies show that ethnic minority caregivers provide more care than their white counterparts and report worse physical health than white caregivers What is the average age of caregivers? - Correct Answers ✅Many caregivers of older people are themselves elderly. Of those caring for someone aged

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65+, the average age of caregivers is 63 years with one third of these caregivers in fair to poor health. How long can caregiving last? - Correct Answers ✅less than a year to more than 40 years Who can be considered informal caregivers? - Correct Answers ✅· Spouse · Son/Daughter/spouse of · Grandchild · Neighbor/friend What are some characteristics of informal caregivers? - Correct Answers ✅· Employed · Have family responsibilities of their own · Assume responsibility for managing another household · Sense of responsibility to care recipient What is the average duration of an informal caregiver's role? - Correct Answers ✅4 years What are the tasks of informal caregivers? - Correct Answers ✅· Significant decision-making authority · Monitoring of the care recipient's condition

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· Communicating with healthcare professionals on behalf of the care recipient What are some informal caregiver activities & statistics? - Correct Answers ✅· 46% perform medical and nursing tasks; · More than 96% provide help with activities of daily living (ADLs) and/or IADLs · 57% of caregivers report that they do not have a choice about performing clinical tasks · 4 in 10 (40%) caregivers are in high-burdened situations, 18% medium burden, and 41% low burden based on the Level of Care Index (1997). · Burden of care increases with hours of care provided. · 92% of providers providing 21 or more hours per week are high burden versus 16% of lower hour providers. What is assessed for caregivers? - Correct Answers ✅· Widely used in community-based social services settings, but new to institutional settings. · Identifies needs, resources and strength of family caregivers. · Needed to assess the person(s) responsible for patient care and follow-up after discharge from hospital or rehabilitation center · Detects areas where additional support may be needed What is asked during the initial interview assessment for caregivers? - Correct Answers ✅· The nature of the care-recipient's illness or disability · The family's stage of caregiving (early, middle, or late)

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· The constellation of individuals involved in care, including community support persons, and treating professionals. · Unique or challenging caregiving circumstances What background information should the nurse ask about the caregiver and the caregiving situation? - Correct Answers ✅· Relationship to patient · Physical environment (home versus facility) • Household members · Duration of caregiving · Quality of family relationships · Financial resources · Employment status How is the caregiver's perception of the health status of the patient assessed? - Correct Answers ✅· ADLs and instrumental ADLs performed without assistance · Medications administered correctly · Mental health diagnosis · Memory loss or cognitive impairment · Behavioral problems · Medical tests and procedure required What questions can be used to assessed the caregiver's values and preferences? - Correct Answers ✅· Is the caregiver willing to assume the role of caregiver>

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· Is the patient willing to accept care? · Are there any cultural issues that might impact care arrangements? · Does the caregiver (and the patient) have restrictions or preferences for the scheduling of care and services? How is the well-being of a caregiver assessed? - Correct Answers ✅· Health conditions or symptoms · Depression or other emotional factors, anxiety · Overall quality of life What consequences of caregiving should the caregiver be informed about? - Correct Answers ✅· Financial strain · Family relationship strain · Difficulties with formal providers What caregiver skills/abilities should be assessed? - Correct Answers ✅· Caregiving confidence and competencies · New skills or training required · Appropriate knowledge of medical care tasks (wound care, etc) What caregiver resources should the caregiver be informed about? - Correct Answers ✅· Caregiver network and perceived social support · Coping strategies

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· Financial resources (health care and service benefits, entitlements such as veteran's affairs, medicare) · Community resources and services (caregiver support programs, religious organizations, volunteer agencies) What is the modified caregiver strain index? - Correct Answers ✅-Quick, easy-to-use tool that can quickly screen for caregiver strain in long-term caregivers. -· Effectively identifies families who may benefit from more in-depth assessment and follow-up. How many questions does the caregiver strain index? - Correct Answers ✅ 13 questions that measure strain related to care provision What are the major domains included in the caregiver strain index? - Correct Answers ✅Financial, Physical, Psychological, Social, and Personal Who can the caregiver strain index be used on? - Correct Answers ✅Can be used to assess individuals of any age who have assumed the caregiving role for an older adult. What does the scoring on the caregiver strain index indicate? - Correct Answers ✅Scoring is 2 points for each 'yes', 1 point for each 'sometimes', and 0 for each 'no' response. Scoring ranges from 26 to 0; a higher score indicates a higher level of caregiver strain

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What does medicare pay for? - Correct Answers ✅After hospitalization for at least 3 days, Medicare will pay for inpatient rehab for the first 20 days at 100%. For the next 80 days, a daily co- payment is required (≈ $167.50/ day). What is the benefit period for medicare? - Correct Answers ✅100 days and starts when one goes into the hospital. It ends when the individual has not received any hospital care or skilled nursing care for 60 days (failure to make progress). What do medicare payments for home health care include? - Correct Answers ✅Medicare payments for home health care are for short-term skilled care at home, after hospitalization, or for treatment of an illness or injury. What services are provided by home health care agencies? - Correct Answers ✅· Skilled nursing care · Physical therapy · Occupational therapy · Speech therapy · Medical social work · Care by home health aids (time-limited, r/t ADL's) What must the doctor determine in order for a beneficiary to be approved for home health care under medicare? - Correct Answers ✅The doctor determines that the beneficiary needs medical care at home, and makes a plan for this care.

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When is is medically necessary for a beneficiary to be approved for home health care under medicare? - Correct Answers ✅It is medically necessary for the beneficiary to receive one or more of the following services: intermittent skilled nursing care, physical therapy, speech-language pathology, or continued occupational therapy. What are medicare-certified agencies? - Correct Answers ✅The home health agency selected must be approved by Medicare What conditions would the beneficiary have to meet in order to be approved for home health care under medicare? - Correct Answers ✅The beneficiary must be homebound or normally unable to leave home unassisted. To be homebound means that leaving home takes considerable effort. What questions should be considered when choosing a home health agency? - Correct Answers ✅· Is the agency Medicare-approved (Medicare- certified)? · How long has the agency served the community? · Does this agency provide the services my relative or friend needs? • How are emergencies handled? · Is the staff on duty around the clock? · How much do services and supplies cost? · Will agency staff be in regular contact with the doctor?

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What does long term care insurance cover? - Correct Answers ✅· adult day programs · respite care · assisted living · nursing home or specialized dementia care · hospice services What do most comprehensive long term care policies pay for? - Correct Answers ✅in-home care if you need help with activities of daily living like dressing or household tasks like paying bills, cooking, and light housekeeping. What does each long term care policy include? - Correct Answers ✅Each policy has a daily benefit amount, and most set a limit on the number of years that you can claim benefits. There may also be a waiting period (60- days) before benefits can be accessed. What employees are covered for family medical leave? - Correct Answers ✅· The FMLA only applies to employers that meet certain criteria. A covered employer is a: · Private-sector employer, with 50 or more employees in 20 or more workweeks in the current or preceding calendar year, including a joint employer or successor in interest to a covered employer; · Public agency, including a local, state, or Federal government agency, regardless of the number of employees it employs; or

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· Public or private elementary or secondary school, regardless of the number of employees it employs. An employee that is eligible for FMLA is one that - Correct Answers ✅· Works for a covered employer; · Has worked for the employer for at least 12 months; · Has at least 1,250 hours of service for the employer during the 12 month period immediately preceding the leave*; and · Works at a location where the employer has at least 50 employees within 75 miles. How many weeks does FMLA allow for? - Correct Answers ✅The FMLA allows for 12 weeks of leave during a 12-month period - but the leave is unpaid. Are you able to use paid leave while on FMLA leave? - Correct Answers ✅may be able to use paid leave while on FMLA leave. When is an employee eligible to take FMLA leave? - Correct Answers ✅only under certain circumstances Is every employee and employer covered for FMLA leave? - Correct Answers ✅Not every employer - or employee - is covered. Do you need to show proof to take FMLA leave? - Correct Answers ✅You may need to provide proof of the serious medical condition.

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What must your employer do once you take FMLA leave? - Correct Answers ✅Your employer must offer you a job after your leave - but it may not be the exact job you had before. What are the influences in the work-family conflict model? - Correct Answers ✅-occupation -education -ethnicity -gender -income -marital status -family structure -caregiving activities What is the work-family conflict model? - Correct Answers ✅It is a model that interrelates work responsibilities and family responsibilities What are some family and work role responsibilities? - Correct Answers ✅- time -role strain -support -values

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What falls under social support? - Correct Answers ✅-family and friends -money -health system -transportation -government senior services -non-government organizations What falls under work support? - Correct Answers ✅-culture -policy -leadership -education What are individual outcomes for the work-family conflict model? - Correct Answers ✅-quality of life -job satisfaction What are organizational outcomes for the work-family conflict model? - Correct Answers ✅-productivity -recruitment and retention What are community outcomes for the work-family conflict model? - Correct Answers ✅-aging in place -shared responsibility

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What does it mean to be homebound? - Correct Answers ✅leaving home takes considerable effort What is the payment policy for long term care insurance? - Correct Answers ✅The policy will not cover 100%, be prepared to pay out of pocket for at least 60 to 90 days before they will approve and begin reimbursement of benefits What is the Family and Medical Leave Act? - Correct Answers ✅entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave