Long Term Care Certification Exam With Answers., Exams of Nursing

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Long Term Care & Rehab Nursing What percentage of adults live at home after 65 years old - correct answer 67% Approximately how much less expensive is it to care for an older adult at home than in a long term care facility - correct answer Home health costs 50% as much than long-term care facility What is the role of the LVN in the home care setting - correct answer Involves private duty/shift work, home visits to gather data to evaluate care, provides human resource as a staffing coordinator, intake coordinator, medical chart auditor/reviewer What is the role of the RN in the home health setting - correct answer Provides visits for holistic care, supervisory home visits, comprehensive assessments, referrals, nursing interventions, health care education, health maintenance, home management, functions as manager & administrator Who can initiate hospice services - correct answer The provider Assisted Living Facility - correct answer assistance as requested, type of residential setting, adults rents a one bedroom has the option of receiving help with ADL's (continuing care) Long Term Care Facility - correct answer known as nursing home/ extended care facility, provides 24 hr. care to people who don't need hospital services but don't have the option for home care, becomes the home for the adult, more than one health disorder when they are admitted Continuing Care Retirement Community (CCRC) - correct answer when your condition worsens, you go to skilled nursing next door, offers housing & health care accommodations, independent living to skilled nursing, enables older adults to experience a smooth transition from independent living to skilled nursing while remaining at the same location How long is a contract with the CCRC - correct answer It's a lifetime commitment Sub acute care unit - correct answer less expensive than hospital/acute care, bridge between acute & long-term care, located in long term care facilities that provide skilled nursing care, stronger rehab focus & shorter length of stay What are people living in long term facilities referred to as - correct answer Residents Short term stay in a long term care facility is how long - correct answer Expected to be discharged within 6 months Interdisciplinary approach - correct answer Everyone works together to help the patient In a long term care facility, what time frame must medications be given in - correct answer 2 hours ( one hour before the scheduled time, one hour after) OBRA, What is it? What requirements does it define - correct answer Known as the nursing home reform legislation, defines requirements for the quality of care, licensing, gives nurse wider scope of practice OBRA guidelines, how often do summaries need to be documented? What does it include - correct answer Annually ; includes vital signs & weight Health Care Financing Administration- What is it? Who must they report to - correct answer Administers & monitors the OBRA guidelines through survey, reports to OBRA Medicaid- What is it? Who qualified for it & when - correct answer Program of medical assistance for people with low income (state) Medical Rehabilitation - correct answer relearning of skills Gerontological Rehab Nurse- What are they? What must their focus be - correct answer Focuses on requirements of older adult rehab patients, assist in achieving their personal optimal level of health & well-being through holistic care in a therapeutic environment, teaches prevention Autonomic Dysreflexia-What is it? S & S? Nursing Interventions? What can trigger it - correct answer Sudden & extreme elevations in blood pressure caused by reflex action in the ANS, most seen in patients with spinal cord injuries above T5, result of stimulation of the body below the level of injury (bladder distention form a blocked catheter) symptoms: diaphoresis, shivering, goosebumps, flushing, headache, treatment includes finding & removing the source of irritation; full bladder or bowels trigger it Post concussive Syndrome - correct answer mild brain injury For every dollar spent on rehab, how much is saved - correct answer 3.00 Handicap - correct answer disability that interferes with normal functioning example: blindness Impairment - correct answer loss or abnormality of anatomic structure/function example: amputation Deep Vein Thrombosis (DVT) in spinal cord injury - correct answer clotting of blood vessels of the legs caused by slow circulation in blood vessel walls, signs include edema, erythema, heat do not move aggressively, anticoagulants prevent DVT Main cause of spinal cord injuries? Most commonly the victim of - correct answer young men Post traumatic brain injury- How long may rehab be required - correct answer 5-10 years Mild head injury-What are they? S & S? How is it categorized - correct answer brief/no loss of consciousness, symptoms include fatigue, headache, vertigo, lethargy, irritability, personality changes, cognitive deficits, decreased information processing speed, memory difficulty, difficulty understanding, learning, perception (Post concussive Syndrome) neuron exam is normal Depression in brain injuries - correct answer They can become depressed might need antidepressants What are the stepping stones on the road to recovery - correct answer Focus on individual, community re-entry, independence, functions ability, team approach, quality of life, prevention & wellness, changes process, adaption, patient & family education Transdisciplinary Rehab Team - correct answer blurring of boundaries between disciplines, cross training & flexibility to minimize any duplication of effort toward individual goal attainment Intradiscisplinary rehab Team - correct answer most commonly used, works to identify individuals goals, features combo of expanded problem solving beyond the boundaries of individuals disciplines, together with discipline specific work toward goal attachment Multidisciplinary rehab Team - correct answer discipline-specific goals, clear boundaries between disciplines & outcomes that are the sum of each disciplines efforts