Eliopoulous Chapter 34 - Long Term Care Quiz

Questions and Answers

Which of the following statements most accurately captures an aspect of long-term care in the United States?

Most older adults of the current generation will require some form of long-term care at some point in their lives. (correct)

The acuity of long-term-care facilities is decreasing as the acuity of older hospital patients increases.

Interventions that were formerly available in long-term-care facilities are now often restricted to hospital settings.

Both the number of long-term-care facilities and the number of residents they house are rapidly increasing.

Which aspect of the facility can be considered a throwback to the pre-20th century history of long-term care?

The facility has copious rules and rigidly enforced schedules. (correct)

Volunteers provide the majority of direct patient care.

The facility is entirely dependent on government money for its operation.

The facility emphasizes psychiatric care over physical care.

Which historical fact may underlie a colleague's choice of words in referring to a long-term-care facility as a 'nursing home'?

Long-term-care facilities were differentiated from hospitals by the absence of physician-led care.

Early care facilities did not provide care for the long term, but rather provided temporary respite by nurses.

Government funding for care facilities was tied to their designation as a home staffed by credentialed nurses.

Residential care providers early in the 20th century began to call themselves nurses. (correct)

Which historical phenomena may explain a man's negative experience in long-term care?

Nursing homes in the 20th century often attracted care providers who were unable to meet the standards required for working in a hospital context. Signup and view all the answers

Which factor provided the most significant impetus for the improvement in the quality of nursing homes that occurred in the 1980s?

The risks of losing federal funding faced by deficient nursing homes. Signup and view all the answers

How can nurses best respond to a colleague's criticism about opening a long-term-care facility?

It can actually be in the best interests of residents for experts in care, like nurses, to be in charge of directing care. Signup and view all the answers

Which source should the nurse use to determine the scope of improvements after an inspection revealed serious lapses in care?

Federally mandated standards and state standards if the state specifies its own higher standards. Signup and view all the answers

Which of the following actions by the nurses at the facility is likely to ease the anxiety of a family about admitting their loved one?

Staff encourage the family to use an activity room during their visits. Signup and view all the answers

Which pressing responsibility should the nurse prioritize in a small long-term-care facility?

Administering the Minimum Data Set (MDS) on a newly admitted patient. Signup and view all the answers

Which goal represents the highest level in the hierarchy of residents' needs?

Residents will experience a growth in meaning and purpose of life despite the presence of health challenges. Signup and view all the answers

In a typical group of older men and women, what is the likelihood of their needing long-term care at some time?

Nearly 50% for women and 33% for men. Signup and view all the answers

What was one of the important characteristics of early long-term-care facilities in the 19th century?

Similar treatment of all patients. Signup and view all the answers

What was most responsible for the rapid growth of nursing homes in the mid-20th century?

Medicare and Medicaid. Signup and view all the answers

What may have caused the revocation of the Haven Nursing Home's license under the Omnibus Budget Reconciliation Act (OBRA) of 1987?

Using restraints and psychotropic drugs. Signup and view all the answers

How can the Omnibus Budget Reconciliation Act of 1987 rules be enforced against Haven Nursing Home after deficiencies are found?

Haven may lose reimbursement from Medicare. Signup and view all the answers

How did geriatric nurses respond to the poor conditions in early nursing homes?

They failed to help conditions. Signup and view all the answers

If a family's loved one is placed in a nursing home, what is a common reason for their decision?

A crisis made it necessary. Signup and view all the answers

Which underlying themes of the new model of long-term care address its limitations?

Holism and healing. Signup and view all the answers

Which question is the most important for families to ask administrators at a long-term-care facility?

What types of health insurance are accepted? Signup and view all the answers

What is the most likely reason that some residents are unhappy at Oakside Care Center?

They need to be more active. Signup and view all the answers

How can the dietitian at Haven Care Center help diabetic residents?

Have some no-sugar treats available occasionally. Signup and view all the answers

Which statement is true about long-term-care facility admissions between 1940 and 2002?

The total number of residents grew at a faster rate than the number of facilities. Signup and view all the answers

How were disadvantaged groups usually categorized in 19th century Europe?

All groups were housed and cared for together. Signup and view all the answers

Which deficiency in Haven Nursing Home's conditions may still remain untouched by OBRA 1987?

High turnover of staff. Signup and view all the answers

Study Notes

Long-term Care Overview

A significant portion of older adults requires some form of long-term care in their lives.
Long-term care facilities are often criticized for their rigid rules and enforcement reminiscent of pre-20th-century models.

Historical Context

Early 20th-century care providers labeled themselves as nurses, reflecting a shift in terminology and professional standards.
Concerns about the quality of care in the 20th century arose from inadequate training of caregivers in nursing homes, leading to poor experiences for residents.
Medicare and Medicaid greatly contributed to the rapid growth of nursing homes in the mid-20th century.

Regulations and Standards

The Omnibus Budget Reconciliation Act (OBRA) of 1987 aimed to improve conditions in nursing homes, which can lose funding for non-compliance.
Nursing homes can face legal consequences, including loss of Medicare reimbursement, if found deficient in care.

Residents' Experience and Family Involvement

Families often feel guilt about placing loved ones in care facilities, usually due to crises that necessitate such decisions.
Active family participation in residents' care can alleviate guilt and improve satisfaction with care.

Quality of Care and Needs Assessment

Registered nurses in long-term care facilities have a critical role in ensuring timely and appropriate care, including administering assessments like the Minimum Data Set (MDS).
Assessing residents' needs includes recognizing their rights, promoting self-care, and fostering purpose in life as higher-level goals.

Challenges and Trends

Despite regulatory improvements, challenges like high staff turnover and the reliance on unqualified personnel still exist in long-term care settings.
Facilities may often provide environments that appear visually satisfactory, yet residents may lack engagement and physical activity.

Demographics and Care Expectations

Nearly half of women and a third of men will require long-term care over their lifespan due to increasing life expectancy.
Nutrition and dietary management are crucial for residents with specific health conditions like diabetes.

Future Perspectives

The movement towards a holistic model of long-term care underscores the importance of healing, social growth, and allowing residents to live meaningful lives despite health challenges.

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Description

Test your knowledge of long-term care concepts as presented in Chapter 34 of Eliopoulous. This quiz covers essential aspects of the long-term care system in the United States, including facility acuity and demographic trends. Ideal for nursing students and healthcare professionals preparing for exams.