Chapter 1

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lefont7941
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74821
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Chapter 1
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2011-03-24 02:22:16
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The Nursing Assistant in Long- Term Care
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  1. What does LTC stands for?
    Long-Term Care- which is given in a long- term care facilities for persons who need 24- hour supervised nursing care.
  2. LTC is given to what type of people?
    • 1. People who need a high level of care for ongoing conditions.
    • 2. Elderly
    • 3. Disabled
    • 4. People who has terminal illness
  3. Another name for a long- term care facility is "_____"
    Nursing home
  4. What are the most chronic conditions seen in LTCF?
    • 1. physical disabilities
    • 2. heart disease
    • 3. stroke
    • 4. dementia
  5. People who live in long- term care facilities are usually called "________".
    Residents- because the facility is where they reside or live.
  6. What are the other types of healthcare settings include?
    • 1. Home health care
    • 2.Assisted living
    • 3. Adult daycare
    • 4. Acute care
    • 5. Skilled care
    • 6. Subacute care
    • 7. Outpatient care
    • 8. Rehabilitation
    • 9. Hospice care
  7. What is home health care?
    Home health care- care that is given in a persons home who are older and are chronically ill but who are able to and wish to remain at home. Also given to a person who is weak after a recent hospital stay.
  8. Assisted living facilities are initially for ________.
    People who need some help with daily care, such as showers, meals, and dressing. Help with medications may also be given.

    NOTE: People who live in these facilities do need skilled, 24 hour care. May be attached to a long- term care facility or it may stand alone.
  9. Which of the following statements is true of adult daycare?

    A. It takes place in the person's home

    B. It takes place in a facility during daytime working hours.

    C. Most people in adult daycare are seriously ill or disabled.

    D. Most serious surgeries are performed at adult daycare centers.
    B. It takes place in a facility during daytime working hours for those who are not seriously ill or disabled. It provides breaks for family members.
  10. What is an acute care?
    care given in hospitals and ambulatory surgical centers for people who have an immediate illness.
  11. What is a skilled care?
    Skilled care- medically necessary care given by a skilled nurse or therapist; is available 24 hours a day.
  12. What is a subacute care?
    Subacute care- care given in a hospital or in a LTCF for people who have had an acute injury or illness or problem resulting from a disease.
  13. What is outpatient care?
    Outpatient care- care given for less than 24 hours for people who have had treatments or surgery and need short- term skilled care.
  14. Care given by specialists to restore or improve function after an illness or injury is called

    A. Acute care
    B. Rehabilitation
    C. Hospice care
    D. Subacute care
    B. Rehabilitation
    (this multiple choice question has been scrambled)
  15. Care given to people who have six months or less to live is called

    A. Acute care
    B. Subacute care
    C. Rehabilitation
    D. Hospice care
    D. Hospice care
    (this multiple choice question has been scrambled)
  16. People who live in long-term care facilities are usually called ______ because it is where they live for the duration of their stay.

    A. Residents
    B. Regulators
    C. Patients
    D. Healthcare providers
    A. Residents
    (this multiple choice question has been scrambled)
  17. Most conditions in long- term care are chronic. This means that

    A. The conditions require immediate treatment at a hospital.

    B. The conditions last a long a time

    C. The conditions last a short time

    D. The conditions will cause death within three months
    The conditions last a long time
  18. True or False

    Long- term care facilities may offer assisted living, subacute care, or specialized care.
    True
  19. True or False

    Facilities that offer specialized care must have specially trained employees.
    True
  20. True or False

    Nonprofit organizations cannot own long- term care facilities.
    False
  21. True or False

    Catheter care and management of chronic diseases are typical services offered at long-term care facilities.
    True
  22. What does ADLs stands for?
    Activities of daily living- personal daily care tasks such as bathing, dressing, caring for teeth and hair, toileting, eating and drinking,
  23. What are the common services offered at LTCFs include the following?
    • 1. Physical, occupational, and speech therapy
    • 2. Wound care
    • 3. Care of the different types of tubes and catheters ( a thin tube inserted into the body that is used to drain fluids or inject fluids)
    • 4. Nutrition therapy
    • 5. Management of chronic diseases, such as AIDS, diabetes, chronic obstructive pulmonary disease (COPD), cancer, and congestive heart failure (CHF)
  24. What do Medicare and Medicaid have in common?
    They both help pay for health care and health insurance for millions of american. Both pay LTCF a fixed amount for services, amount is based on resident's needs upon admission.
  25. List two groups of people who qualify for Medicare.
    • 1. People aged 65 or older
    • 2. People of any age with permanent kidney failure or certain disabilities.
  26. List the four parts of Medicare and what each helps pay for.
    Part A- helps for care in a hospital or skilled nursing facility or for care from a home health agency or hospice.

    Part B- helps pay for doctor services and other medical services and equipment.

    Part C- allows private health insurance companies to provide Medicare benefits.

    Part D- helps pay for medications prescribed for treatment.
  27. What is Medicaid?
    Medicaid- Medical assistance program for low- income people. Funded by both Federal government and each state.
  28. How is eligibility for Medicaid determined?
    by income and special circumstances. People must qualify.
  29. Describe the role of nursing assistants.
    • 1. Takes temperature
    • 2. Help with personal care, such as bathing and hair care
    • 3. Encourage residents to eat and drink
    • 4. Help with toileting needs
    • 5. Promote self- care and independence
    • 6. Help residents to move around safely
    • 7. keeping residents living areas neat and clean
    • 8. Caring for supplies and equipment
    • 9. Helping residents dress
    • 10. Making beds
    • 11. Giving backrubs
    • 12. Helping residents with mouth care
    • 13. They act as "eyes and ears" observing changes in a resident's condition and reporting these changes.
    • 14. Charting
  30. Registered Nurse (RN)
    Liscensed proffesional who has completed two to four years of education and coordinates, manages, and provides skilled nursing care.
  31. Describe Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)
    Liscensed professional who has completed one or two years of education and is able to administer medications and give treatments.
  32. Describe Nursing Assistant.
    Perform delegated tasks, such as taking vital signs and providing personal care.
  33. Describe the Medical Social Worker (MSW)
    Helps residents get support services, such as counseling.
  34. Describe Occupational Therapist (OT)
    Trains residents to compensate for disabilities during ADLs and other activities.
  35. Describe Physical Therapist (PT)
    Administers therapy in the form of heat, cold, massage, ultrasound, electricity, and exercise to muscles, bones, and joints.
  36. Describe Physician or Doctor (MD)
    Diagnoses disease or disability and prescribes treatment.
  37. Describe Registered Dietician (RD)
    Creates diets for residents with special needs
  38. Describe Speech language Pathologist (SLP)
    Teaches exercises to help the residents improve or overcome speech problems
  39. Describe Activities Director
    Helps residents socialize and stay active
  40. Describe Resident.
    The care team revolves around this person and his or her condition, treatment, and progress
  41. Which of the following statements is true of the chain of command?

    A. It describes the line of authority in a facility
    B. It is the same as the care team
    C. It details the survey process for each facility.
    D. Nursing assistants are at the top of the chain of command.
    A. It describes the line of authority in a facility
    (this multiple choice question has been scrambled)
  42. Liability is a legal term that means
    was not trained
    A. Someone can be held responsible for harming someone else.
    B. The line of authority in a facility
    C. Ignoring a resident 's call light
    D. A task that a person was not trained for
    A. Someone can be held responsible for harming someone else.
    (this multiple choice question has been scrambled)
  43. Why is it important not to do tasks that are not assigned to you?

    A. You may put yourself or someone else in danger
    B. You may have to start arriving at work earlier
    C. You may be assigned more work if you perform additional tasks
    D. you may need to pay for additional training
    A. You may put yourself or someone else in danger
    (this multiple choice question has been scrambled)
  44. What is one reason that other members of the care team will show great interest in the work that you do?T

    A. They may not have much respect for nursing assistants.
    B. They may not trust you
    C. You will be working under the authority of other's liscenses.
    D. They can avoid having to pay you if you make a mistake.
    C.You will be working under the authority of other's liscenses.
    (this multiple choice question has been scrambled)

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