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Eliopoulos - Gerontological Nursing 8th Ed - Ch 34 Long term Care Exam Questions and Answers
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Eliopoulos - Gerontological Nursing 8thEd - Ch 34 Long term Care Exam
1. Which of the following statements most accurately captures an aspect of long-term
care in the United States?
A) The acuity of long-term-care facilities is decreasing as the acuity of older hospital
patients increases.
B) Both the number of long-term-care facilities and the number of residents they house
are rapidly increasing.
C) Most older adults of the current generation will require some form of long-term care
at some point in their lives.
D) Interventions that were formerly available in long-term-care facilities are now often
restricted to hospital settings. - Answers -Ans: C
Feedback: Among the current generation of people entering their senior years, 69% will
need some type of institutional or community long-term care, and about half of all older
women and one-third of all older men will spend some time in a long-term-care facility
during their lives. Acuity in such facilities and the number of residents they serve are
increasing, while the total number of facilities has recently declined since more rigorous
standards were enacted. Interventions that used to be limited to an acute-care context
are often available in
long-term-care facilities.
2. The family of an 84-year-old female resident of a long-term-care facility is profoundly
dissatisfied with the environment and the quality of care that the woman is receiving.
Which of the following aspects of the facility can be considered a throwback to the pre-
20th century history of
long-term care?
A) The facility has copious rules and rigidly enforced schedules.
B) The facility emphasizes psychiatric care over physical care.
C) Volunteers provide the majority of direct patient care.
D) The facility is entirely dependent on government money for its operation. - Answers -
Ans: A
Feedback: Pre-20th century long-term-care facilities often had abundant rules and rigid
routines. Psychiatric care was not prioritized and while
care was often provided by charities, volunteers did not account for the majority of direct
care. Government funding was not the
primary source of income.
, 3. The colleague of a nurse who provides care in a long-term-care facility consistently
refers to their workplace as a "nursing home." Which
of the following historical facts may underlie the colleague's choice of words?
A) Early care facilities did not provide care for the long term, but rather provided
temporary respite by nurses.
B) Residential care providers early in the 20th century began to call themselves nurses.
C) Government funding for care facilities was tied to their designation as a home staffed
by credentialed nurses.
D) Long-term-care facilities were differentiated from hospitals by the absence of
physician-led care. - Answers -Ans: B
Feedback: Early in the 20th century, small facilities began to develop, offering room,
board, and some personal care. Some of these facilities
were operated by nurses or persons who called themselves nurses; thus the term
"nursing home" became popularized. They were not
necessarily short-term facilities and neither government funding requirements nor the
absence of any care by physicians led to the
designation.
4. The daughter of an 86-year-old man with stage 3 Alzheimer's disease has suggested
exploring long-term-care facilities as a way of
meeting his increasing daily needs. The man is strongly opposed to entertaining the
possibility, stating, "We put my granddad in one of those 45
years ago and it was a horror for him." Which of the following historical phenomena may
explain the man's reaction and his grandfather's negative
experience in long-term care?
A) Nursing homes in the 20th century often attracted care providers who were unable to
meet the standards required for
working in a hospital context.
B) Philosophies of care in the mid-20th century emphasized minimal assistance with
ADLs.
C) Evidence-based gerontological nursing did not exist during the era in question.
D) Nursing homes in the 1960s proliferated in number, but standards of care were low
and enforcement was lacking. - Answers -Ans: D
Feedback: During the rapid growth in long-term care in the 1960s and 1970s, federal
standards were very minimal, and monitoring and
enforcement systems were lax. Answers A, B and C are less accurate historical
statements.
5. Which of the following factors provided the most significant impetus for the
improvement in the quality of nursing homes that occurred in
the 1980s?
A)Nursing research demonstrating the harmful effects of substandard care
B) The risks of losing federal funding faced by deficient nursing homes
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