Questions and Answers
Which of the following statements most accurately captures an aspect of long-term care in the United States?
Which aspect of the facility can be considered a throwback to the pre-20th century history of long-term care?
Which historical fact may underlie a colleague's choice of words in referring to a long-term-care facility as a 'nursing home'?
Which historical phenomena may explain a man's negative experience in long-term care?
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Which factor provided the most significant impetus for the improvement in the quality of nursing homes that occurred in the 1980s?
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How can nurses best respond to a colleague's criticism about opening a long-term-care facility?
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Which source should the nurse use to determine the scope of improvements after an inspection revealed serious lapses in care?
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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?
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Which pressing responsibility should the nurse prioritize in a small long-term-care facility?
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Which goal represents the highest level in the hierarchy of residents' needs?
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In a typical group of older men and women, what is the likelihood of their needing long-term care at some time?
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What was one of the important characteristics of early long-term-care facilities in the 19th century?
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What was most responsible for the rapid growth of nursing homes in the mid-20th century?
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What may have caused the revocation of the Haven Nursing Home's license under the Omnibus Budget Reconciliation Act (OBRA) of 1987?
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How can the Omnibus Budget Reconciliation Act of 1987 rules be enforced against Haven Nursing Home after deficiencies are found?
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How did geriatric nurses respond to the poor conditions in early nursing homes?
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If a family's loved one is placed in a nursing home, what is a common reason for their decision?
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Which underlying themes of the new model of long-term care address its limitations?
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Which question is the most important for families to ask administrators at a long-term-care facility?
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What is the most likely reason that some residents are unhappy at Oakside Care Center?
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How can the dietitian at Haven Care Center help diabetic residents?
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Which statement is true about long-term-care facility admissions between 1940 and 2002?
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How were disadvantaged groups usually categorized in 19th century Europe?
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Which deficiency in Haven Nursing Home's conditions may still remain untouched by OBRA 1987?
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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.