Long-Term Care Facilities Overview
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Questions and Answers

Another name for a long-term care (LTC) facility is a(n)

  • Home health facility
  • Nursing home (correct)
  • Assisted living facility
  • Adult day services apartment

    • A person who lives in a long-term care facility is called a resident because

  • She is picked up at the end of each day to go home
  • The facility is her home (correct)
  • She does not have any living family members
  • She does not need skilled care

    • Assisted living facilities are usually for

  • Residents who will die within six months
  • Residents who require acute care
  • Residents who need around-the-clock intensive care
  • Residents who are generally independent and do not need skilled care (correct)

    • How does home health aide care differ from nursing assistant care?

    <p>Home health aides may clean the home and do laundry</p> Signup and view all the answers

    A program of care given by a specialist to restore or improve function after an illness or injury is called

    <p>Rehabilitation</p> Signup and view all the answers

    Inter-generational care is

    <p>Adult and child care merged so that young and old can spend time together</p> Signup and view all the answers

    Medicare is a health insurance program for people who are 65 years of age or older.

    <p>True</p> Signup and view all the answers

    No one younger than 65 is covered by Medicare.

    <p>False</p> Signup and view all the answers

    Medicare will pay for any services requested by the resident.

    <p>False</p> Signup and view all the answers

    A person with limited income might qualify for Medicaid.

    <p>True</p> Signup and view all the answers

    Medicare and Medicaid pay a fixed amount of services based on residents' needs.

    <p>True</p> Signup and view all the answers

    It is important for nursing assistants to know each resident individually than to know general facts about most residents.

    <p>True</p> Signup and view all the answers

    Most residents living in long-term care facilities are male.

    <p>False</p> Signup and view all the answers

    Residents with the longest average stay in a healthcare facility are residents admitted for terminal care.

    <p>False</p> Signup and view all the answers

    Dementia is not a common cause of admission to a long-term care facility.

    <p>False</p> Signup and view all the answers

    Poor health is not the only reason residents are admitted to long-term care facilities. Often they are admitted due to lack of a support system.

    <p>True</p> Signup and view all the answers

    Lack of outside support is one reason to care for the whole person instead of only the illness or disease.

    <p>True</p> Signup and view all the answers

    What are activities of daily living (ADLs)?

    <p>Bathing, skin, nail, and hair care, mouth care, and assistance with walking, eating, and drinking, dressing, transferring, and toileting.</p> Signup and view all the answers

    Think of one task that might be assigned to a nursing assistant that is not mentioned in the book.

    <p>Answers will vary</p> Signup and view all the answers

    Look at the tasks commonly performed by nursing assistants. Which task do you think you will enjoy the most? Which do you think will be the most difficult for you?

    <p>Answers will vary</p> Signup and view all the answers

    Which of the following best shows professionalism by a nursing assistant?

    <p>A nursing assistant takes a while to document carefully.</p> Signup and view all the answers

    Katie is a new nursing assistant at Parkwood Skilled Nursing Care and wants to make a positive first impression. Which of the following would be the best way for Katie to demonstrate professionalism at her new job?

    <p>She can avoid unnecessary work absences.</p> Signup and view all the answers

    Nursing assistant Samantha Stevens is late for five shifts in a row. How could Samantha have been more humble and open to growth?

    <p>Answers may vary</p> Signup and view all the answers

    Nurse Frederico Gonzalez tells nursing assistant Mary Lupko about a resident's diagnosis of a sexually-transmitted infection. How could Mary have been more trustworthy?

    <p>Answers may vary</p> Signup and view all the answers

    Nursing assistant Rob Brown is tidying Ms. Lee's room. How could Rob have acted in a courteous and respectful manner?

    <p>Answers may vary</p> Signup and view all the answers

    Resident Hannah Stein is dying. How could Jennifer have been more empathetic?

    <p>Answers may vary</p> Signup and view all the answers

    Nursing assistant Doug Albin is helping resident Sam Perkins to the bathroom. How could Doug have been more patient and understanding?

    <p>Answers may vary</p> Signup and view all the answers

    Nursing assistant Wayne Leach just found out his facility is short-staffed tonight. How could Wayne have been more enthusiastic?

    <p>Answers may vary</p> Signup and view all the answers

    Nurse Cathy Connell verbally gives nursing assistant Sandra Levy a list of things she wants done. How could Sandra have been more dependable?

    <p>Answers may vary</p> Signup and view all the answers

    Nursing assistant Tracy Fleming is assigned to help Mr. Ming, a Chinese resident, eat his dinner. How could Tracy have been more tolerant and unprejudiced?

    <p>Answers may vary</p> Signup and view all the answers

    How often should a nursing assistant bathe?

    <p>Every other day</p> Signup and view all the answers

    Which of the following should a nursing assistant wear to work?

    <p>A watch</p> Signup and view all the answers

    Which of the following should a nursing assistant wear to work?

    <p>An identification badge</p> Signup and view all the answers

    Which of the following is part of proper grooming for a nursing assistant?

    <p>Long hair that is tied back</p> Signup and view all the answers

    Which of the following is true of fingernails?

    <p>Short, smooth natural nails are the best kind of nails for nursing assistants to wear to work.</p> Signup and view all the answers

    What does an activities director do?

    <p>Plans activities for residents to help them socialize and stay physically and mentally active.</p> Signup and view all the answers

    What does a medical social worker do?

    <p>Determines residents' social needs and helps them get support services, such as counseling or financial assistance.</p> Signup and view all the answers

    What does a nurse do?

    <p>Assesses residents, creates the care plan, monitors progress, and gives treatments and medication.</p> Signup and view all the answers

    What does a nursing assistant (NA) do?

    <p>Performs assigned tasks, such as bathing residents and assisting with toileting, and has the most direct contact with residents.</p> Signup and view all the answers

    What does an occupational therapist (OT) do?

    <p>Evaluates a resident's ability to do activities of daily living and develops a treatment plan to help him adapt to disabilities.</p> Signup and view all the answers

    What does a physical therapist (PT or DPT) do?

    <p>Administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints.</p> Signup and view all the answers

    What does a physician or doctor (MD or DO) do?

    <p>Diagnoses disease or disability and prescribes treatment.</p> Signup and view all the answers

    What does a registered dietitian (RDT) do?

    <p>Assesses the resident's nutritional status and plans a program of nutritional care.</p> Signup and view all the answers

    What is a resident?

    <p>A person who the care team revolves around.</p> Signup and view all the answers

    What does a speech-language pathologist (SLP) do?

    <p>Teaches exercises to help residents improve or overcome speech problems and evaluates ability to swallow food and drink.</p> Signup and view all the answers

    The chain of command describes the line of _______________ in a facility.

    <p>authority</p> Signup and view all the answers

    The _______________ will usually be the nursing assistant's immediate supervisor.

    <p>nurse</p> Signup and view all the answers

    When a nursing assistant has a problem with another department, it should be reported to an immediate supervisor or the _______________ nurse.

    <p>charge</p> Signup and view all the answers

    Following the chain of command helps protect staff from _______________, which is a legal term for being held responsible for harming someone else.

    <p>liability</p> Signup and view all the answers

    What are three questions nurses consider before delegating a task?

    <ol> <li>What is the level of resident stability? 2. Is the nurse available to give the supervision, support, and help that the nursing assistant needs? 3. Can the nurse give appropriate direction and communication?</li> </ol> Signup and view all the answers

    What are three questions nursing assistants should ask themselves before accepting a delegation?

    <ol> <li>Do I have all the information I need to do this job? Are there questions I should ask? 2. Do we both understand who is doing what? 3. Do I have the needed supplies, equipment, and other support?</li> </ol> Signup and view all the answers

    If a nursing assistant is unsure about a task that is delegated to him, what should he do?

    <p>He should ask for help and ask if he needs more information or is unsure about something.</p> Signup and view all the answers

    What is functional nursing?

    <p>A method of care in which each member of the care team is given specific tasks to perform for a large number of residents.</p> Signup and view all the answers

    What is person-centered care?

    <p>A method of care that revolves around the resident and promotes each individual's preferences, choices, dignity, and interests.</p> Signup and view all the answers

    What is primary nursing?

    <p>A method of care in which the registered nurse gives much of the daily care to residents.</p> Signup and view all the answers

    What is team nursing?

    <p>A method of care in which a nurse acts as the team leader of the group giving care.</p> Signup and view all the answers

    A _______________ is a course of action to be taken every time a certain situation occurs.

    <p>policy</p> Signup and view all the answers

    A complete list of every facility policy is found in the _______________.

    <p>policy manual</p> Signup and view all the answers

    A _______________ is a specific way of doing something.

    <p>procedure</p> Signup and view all the answers

    The exact way to complete every resident procedure is found in the _______________.

    <p>procedure manual</p> Signup and view all the answers

    Study Notes

    Long-Term Care Facilities

    • Long-term care facilities, commonly known as nursing homes, provide a permanent residence for individuals needing ongoing care.
    • Residents are called so because the facility serves as their home, rather than a temporary place for receiving care.

    Types of Care and Facilities

    • Assisted living facilities cater to generally independent residents who do not require skilled nursing care.
    • Home health aides provide services that may include cleaning and laundry, differing from nursing assistants who primarily assist with personal care.

    Care Programs

    • Rehabilitation is a specialized program aimed at restoring functions post-illness or injury.
    • Inter-generational care merges adult and child care, fostering interaction across age groups.

    Medicare and Medicaid

    • Medicare offers health insurance primarily for those aged 65 and older, but also covers some younger individuals under specific conditions.
    • Medicaid provides coverage for individuals with limited income.
    • Both Medicare and Medicaid offer services based on residents' needs, but not all requested services are covered.

    Understanding Residents

    • Getting to know residents personally is crucial for providing individualized care.
    • Dementia is a common reason for admission to long-term care facilities, along with the absence of a support system.
    • Activities of Daily Living (ADLs) include assistance with bathing, grooming, eating, and toileting.

    Professionalism in Nursing Assistance

    • Professionalism is demonstrated through punctuality, careful documentation, and maintaining residents' confidentiality.
    • Conduct such as not making excuses for tardiness or sharing confidential information reflects unprofessionalism.

    Personal Conduct and Care Approach

    • Empathy is vital; nursing assistants should listen and provide support rather than impose their own experiences.
    • Patience and understanding during care tasks are necessary, especially with residents needing extra time or assistance.

    Appearance and Grooming Standards

    • Nursing assistants should wear a watch and an ID badge while eschewing jewelry and fragrances.
    • Proper grooming mandates tying back long hair and maintaining short, clean nails.

    Teamwork and Support Roles

    • Activities directors organize social endeavors for residents, while medical social workers address their social needs.
    • Nurses oversee care plans, and nursing assistants provide direct daily support.

    Care Methods

    • Functional nursing delegates specific tasks to team members, while person-centered care focuses on individual resident preferences.
    • Team nursing involves a lead nurse overseeing a group of caregivers.

    Policies and Procedures

    • Policies provide a consistent approach to specific situations, outlined in a policy manual.
    • Procedures detail the methods for completing tasks, which can be referenced in a procedure manual.

    Delegation and Accountability

    • Questions to consider before accepting delegated tasks include clarity on responsibilities and the availability of support.
    • Uncertainty regarding a task should be addressed proactively by asking for assistance.

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    Description

    This quiz covers essential information about long-term care facilities, including their types, care programs, and the role of Medicare and Medicaid. Understanding these elements is vital for navigating elder care options and services. Test your knowledge on how these facilities operate and the care they provide.

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