Long-Term Care Facilities Overview

Questions and Answers

What is another name for a long-term care facility?

extended care facility

Assisted living facilities are initially for whom?

people who need help with daily care

What is true about adult day care services?

This type of care is for people who need some help and supervision during certain hours.

What is care given by specialists to restore or improve function after an illness or injury called?

rehabilitation Signup and view all the answers

What is care given to people who have about 6 months or less to live called?

hospice care Signup and view all the answers

What are people who live in long-term care facilities usually called?

residents Signup and view all the answers

Most conditions in long-term care are chronic. This means that they last a long time.

True Signup and view all the answers

Long-term care facilities may offer assisted living, sub-acute care, or specialized care.

True Signup and view all the answers

Facilities that offer specialized care must have specially trained employees.

True Signup and view all the answers

Nonprofit organizations cannot own long-term care facilities.

False Signup and view all the answers

Person-directed care means that staff should treat all residents exactly the same.

False Signup and view all the answers

Culture change means basing care on each individual's needs.

True Signup and view all the answers

List two groups of people who qualify for Medicare.

65+, permanent kidney failure any age, certain disabilities any age Signup and view all the answers

List the four parts of Medicare and what each helps pay for.

facility, dr services, private health insurance, prescriptions for treatment Signup and view all the answers

How is eligibility for Medicaid determined?

assistance to low income, certain disabilities Signup and view all the answers

Nursing assistants help with what tasks?

personal care (bathing, hair care, etc.), toileting, moving around safely, meals, promote self-care & independence Signup and view all the answers

What tasks will nursing assistants NOT perform?

give medications, remove tubes Signup and view all the answers

What does an activities director do?

helps residents socialize and stay active Signup and view all the answers

What is a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)?

Licensed professional who has completed one to two years of education and is able to administer medications and give treatments Signup and view all the answers

What does a Medical Social Worker (MSW) do?

helps residents get support services, such as counseling Signup and view all the answers

What is the role of a nursing assistant (NA or CNA)?

performs assigned tasks, such as taking vital signs and providing personal care Signup and view all the answers

What does an Occupational Therapist (OT) do?

helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities Signup and view all the answers

What does a Physical Therapist (PT or DPT) do?

administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints Signup and view all the answers

What is the role of a physician or doctor (MD or DO)?

diagnoses disease or disability and prescribes treatment Signup and view all the answers

What does a Registered Dietitian (RDT) do?

creates diets for residents with special needs Signup and view all the answers

What is the role of a Registered Nurse (RN)?

Licensed professional who has graduated from a two-to four-year nursing program and coordinates, manages, and provides skilled nursing care Signup and view all the answers

What is a resident?

person whose condition, treatment, and progress are what the care team revolves around Signup and view all the answers

What does a Speech-Language Pathologist do?

teaches exercises to help the resident improve or overcome speech problems Signup and view all the answers

What is true about the chain of command?

it describes the line of authority in a facility Signup and view all the answers

What does liability mean?

someone can be held responsible for harming someone else Signup and view all the answers

Why should a nursing assistant not do tasks that are not assigned to them?

NA may put himself or someone else in danger Signup and view all the answers

What is one reason that other members of the care team show great interest in the work of a nursing assistant?

the NA will be working under the authority of others' licenses Signup and view all the answers

A policy is a course of action to be followed. For example, all health information must remain confidential.

True Signup and view all the answers

Facilities will have procedures for reporting information about residents.

True Signup and view all the answers

Is it all right to do tasks not listed in the job description if they are very simple?

False Signup and view all the answers

Changes in residents should be reported to the nurse.

True Signup and view all the answers

Each step in a written procedure is important and must be strictly followed.

True Signup and view all the answers

What does it mean to be compassionate?

being caring, concerned, considerate, empathetic, and understanding Signup and view all the answers

What does it mean to be conscientious?

being guided by a sense of right and wrong and having principles Signup and view all the answers

What does it mean to be dependable?

getting to work on time and doing assigned tasks skillfully Signup and view all the answers

What does it mean to be empathetic?

identifying with the feelings of others Signup and view all the answers

What does it mean to be honest?

being truthful Signup and view all the answers

What does it mean to be patient?

not rushing residents or being irritated if they take a long time; not losing one's temper easily Signup and view all the answers

What does it mean to be respectful?

valuing other people's individuality and treating others politely and kindly Signup and view all the answers

What does it mean to be sympathetic?

sharing in the feelings and difficulties of others Signup and view all the answers

What does it mean to be tactful?

showing sensitivity and having a sense of what is appropriate when dealing with others Signup and view all the answers

What does it mean to be tolerant?

putting aside personal opinions and not judging others Signup and view all the answers

What does it mean to be unprejudiced?

giving the same quality of care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition Signup and view all the answers

Matt, a new nursing assistant, tells a resident that she has to wear the flowered shirt he picked out for her. Which residents' right does this violate?

right to choice Signup and view all the answers

Margaret, a nursing assistant, tells her best friend, 'Mrs. Picadilly's cancer is getting worse. I heard her moaning all night last night.' Which residents' right does this violate?

right to privacy/confidentiality Signup and view all the answers

Harry, a nursing assistant, is measuring a resident's vital signs when the resident's family arrives. He tells them, 'You'll have to come back another day. I'm busy with her right now.' Which residents' right does this violate?

right to visit Signup and view all the answers

Yvonne, a nursing assistant, is going off duty. Leaving Ms. Scott's room, she notices a pretty necklace. She decides to borrow it for the night, promising to herself to return it tomorrow. She knows Ms. Rice has Alzheimer's disease and won't notice that it is gone. Which residents' right does this violate?

right to security and possessions Signup and view all the answers

Jane is explaining a care procedure to Mrs. Gonzalez in English. Mrs. Gonzalez only speaks Spanish. When she is finished, Jane asks Mrs. Gonzalez if she understands the procedure. Mrs. Gonzalez looks confused and doesn't respond. Jane begins to perform the care on Mrs. Gonzalez. Which residents' right does this violate?

right to be fully informed Signup and view all the answers

Mrs. Perkins is a visually impaired resident. She is very nearsighted and has misplaced her eyeglasses many times. She gets upset during eye examinations, so the staff at her facility often allow her to go without glasses for a few weeks before having them replaced. Which residents' right does this violate?

services and activities to maintain a high level of wellness Signup and view all the answers

Mr. Gallerano has a stomach ulcer that causes him minor pain. He has medication for it, but he says that it makes him nauseous and he does not want to take it. Lila, a nursing assistant, tells him that he may not have his dinner until he takes the medication. Which residents' right does this violate?

the right to participate in one's own care Signup and view all the answers

Ms. Mayes, a resident with severe arthritis, has a blue sweater that she loves to wear. The buttons are very tiny, and she cannot button them herself. Jim, a nursing assistant, tells her that she cannot wear the sweater today because it takes him too long to help her into it. Which residents' right does this violate?

the right to make independent choices Signup and view all the answers

Amy is a nursing assistant at Sweetwater Retirement Home. Every night when she goes home, she tells her family funny stories about the residents she is working with. Which residents' right does this violate?

the right to privacy and confidentiality Signup and view all the answers

Laura, a nursing assistant, is running behind with her work for the evening. She is helping Mr. Young, a resident with Alzheimer's, with his dinner. She is getting frustrated with him because he keeps taking the fork out of her hand and dropping it on the floor. Finally, she slaps his hand to get him to stop. Which residents' right does this violate?

the right to dignity, respect, and freedom Signup and view all the answers

Ms. Land, an elderly resident, gets into a loud argument with another resident during a card game. When her daughter comes to see her later that day, Anne, an NA, tells her that Ms. Land is in a bad mood and cannot see anyone. Which residents' right does this violate?

right to visits Signup and view all the answers

During dinner, Pete, an NA, spills hot soup on a resident's arm. He tells her that she had better not tell anyone about it or he will be very angry at her. Which residents' right does this violate?

right to complain Signup and view all the answers

What is abuse?

purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Signup and view all the answers

What is active neglect?

the purposeful failure to give needed care, resulting in harm to a person Signup and view all the answers

What is assault?

threat to harm a person, resulting in the person feeling fearful that he will be harmed Signup and view all the answers

What is battery?

intentional touching of a person without his consent Signup and view all the answers

What is domestic violence?

physical, sexual, or emotional abuse by spouses, intimate partners, or family members Signup and view all the answers

What is false imprisonment?

unlawful restraint that affects a person's freedom of movement Signup and view all the answers

What is financial abuse?

the improper or illegal use of a person's money, possessions, property, or other assets Signup and view all the answers

What is involuntary seclusion?

the separation of a person from others against the person's will Signup and view all the answers

What is malpractice?

injury caused by professional misconduct through negligence, carelessness, or lack of skill Signup and view all the answers

What is negligence?

actions, or failure to act or provide a proper care, resulting in unintended injury to a person Signup and view all the answers

What is passive neglect?

the unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person Signup and view all the answers

What is physical abuse?

intentional or unintentional treatment that causes harm to a person's body Signup and view all the answers

What is psychological abuse?

emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or insulting a person, or by treating him or her as a child Signup and view all the answers

What is sexual abuse?

forcing of a person to perform or participate in sexual acts against his or her will Signup and view all the answers

What is sexual harassment?

any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive work environment Signup and view all the answers

What is substance abuse?

use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others Signup and view all the answers

What is verbal abuse?

the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult another person Signup and view all the answers

What is workplace violence?

verbal, physical, or sexual abuse of care team members by residents or other care team members Signup and view all the answers

If a resident wants to make a complaint of abuse, what must a CNA do?

help them, tell them their rights, report it to a supervisor Signup and view all the answers

One task of an ombudsman is to:

investigate and resolve residents' complaints Signup and view all the answers

What is the purpose of HIPAA?

to protect and secure the privacy of health info Signup and view all the answers

What is included under protected health information (PHI)?

patient's social security number Signup and view all the answers

What is the correct response by an NA if someone who is not directly involved with a resident's care asks for a resident's PHI?

tell the person that the information is confidential and cannot be given out Signup and view all the answers

What is one way to keep private health info confidential?

using confidential rooms for reporting on residents Signup and view all the answers

What is true about a resident's medical chart?

False Signup and view all the answers

When should care be documented?

immediately after care is given Signup and view all the answers

What time is 2:10 pm in military time?

1410 Signup and view all the answers

What time is 4:30 am in military time?

0430 Signup and view all the answers

What time is 10:00 am in military time?

1000 Signup and view all the answers

What time is 8:25 pm in military time?

2025 Signup and view all the answers

What time is 0600 in standard time?

6 am Signup and view all the answers

What time is 2320 in standard time?

11:20 pm Signup and view all the answers

What time is 1927 in standard time?

7:27 Signup and view all the answers

What time is 1800 in standard time?

6 pm Signup and view all the answers

How does a nursing assistant's reporting affect the MDS?

reporting changes may lead to a whole new document needing to be filled out Signup and view all the answers

How soon after a resident is admitted does an MDS need to be completed?

must be completed within 14 days Signup and view all the answers

What is an incident?

an accident or unexpected event in the course of care Signup and view all the answers

Which of the following would be considered an incident? A resident on a low sodium diet receives and eats a regular, non-restricted meal.

a resident on a low sodium diet receives and eats a regular, non-restricted meal Signup and view all the answers

Incidents should be reported to whom?

the charge nurse Signup and view all the answers

Documentation of incidents helps protect residents, employers, and individual staff members.

True Signup and view all the answers

Study Notes

Long-Term Care Facilities

Long-term care facilities are also known as extended care facilities.
Assisted living facilities cater to individuals needing assistance with daily activities.
Adult day care services provide help and supervision for those needing care during specific hours.
Rehabilitation focuses on restoring or improving function post-illness or injury.
Hospice care is designated for individuals with six months or fewer to live.

Residents and Care

Individuals residing in these facilities are referred to as residents.
Most conditions in long-term care are chronic, indicating they persist over a long duration.
Person-directed care acknowledges individual needs rather than treating residents uniformly.
Culture change emphasizes customization of care based on personal requirements.

Medicare and Medicaid

Medicare eligibility includes individuals aged 65 or older, those with permanent kidney failure, and individuals with certain disabilities.
Medicare comprises four parts covering facility services, doctor services, private health insurance, and prescription drugs.
Medicaid eligibility is determined by income levels and certain disabilities.

Role of Nursing Assistants

Nursing assistants provide personal care, assist with mobility, and foster independence and self-care.
They are not authorized to administer medications or remove medical tubes.

Support Staff Roles

Activities director promotes resident socialization and activity.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) administer medications and treatments after completing one to two years of training.
Medical social workers (MSWs) assist residents with support services like counseling.
Occupational therapists (OTs) and physical therapists (PTs) help residents with daily living skills and physical rehabilitation, respectively.
Registered dietitians (RDTs) design diets for residents with unique dietary needs.
Registered nurses (RNs) oversee and manage nursing care.

Chain of Command and Liability

The chain of command outlines the authority structure within a facility.
Liability refers to the responsibility of being accountable for harm caused to others.
Nursing assistants should only perform assigned tasks to avoid putting themselves or others at risk.

Confidentiality and Policies

Policies dictate actions, such as maintaining the confidentiality of health information.
Changes in residents' conditions must be reported to a nurse.
Procedures for reporting resident information must be followed rigorously.

Characteristics of Effective Caregiving

Compassion is characterized by understanding and empathy.
Being conscientious involves acting according to a sense of ethics.
Dependability is essential in fulfilling responsibilities punctually and effectively.
Respectful behavior involves valuing individuality and polite treatment of others.

Residents' Rights Violations

Residents have rights, including the right to choice, privacy, security, and the ability to participate in their care. Violations can occur in various scenarios, such as forced activities, disclosure of medical information, and neglect of additional needs.
Reporting abuse is crucial, and nursing assistants must inform supervisors if a resident wants to file a complaint.

Abuse and Neglect Definitions

Abuse encompasses mistreatment that inflicts physical, mental, or emotional harm.
Active neglect signifies intentional failure to provide necessary care.
Passive neglect is the unintentional failure to deliver essential care.
Types of abuse include physical, sexual, verbal, and psychological, along with financial abuse and involuntary seclusion.

Health Privacy and Reporting

HIPAA aims to secure and protect health information privacy.
Protected Health Information (PHI) includes sensitive data such as social security numbers.
Unauthorized requests for resident PHI should be met with reminders of confidentiality.

Incident Reporting

Incidents are unexpected occurrences during care that need to be documented.
Any discrepancies in care, like dietary violations, must be reported to maintain safety and compliance.
Documentation protects the rights and safety of residents and staff alike.

Medical Documentation

Medical charts are legal records of resident care, requiring timely updates post-care.
The Minimum Data Set (MDS) must be completed within 14 days of a resident's admission.
Effective reporting by nursing assistants can yield comprehensive assessment documentation when needed.

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Description

This quiz explores various aspects of long-term care facilities, including the types of services offered such as assisted living, rehabilitation, and hospice care. It also delves into the characteristics of residents and the significance of person-directed care and culture change. Test your knowledge about Medicare and Medicaid eligibility in relation to long-term care.