Gerontological Nursing Exam 1 Study Guide
Questions And Answers Verified 100% Correct
10 important points for dealing with caregiver burden - ANSWER- -Take care of yourself
-Maintain contact with friends and involvement in outside activities
-Caregiving to adults is more stressful than child-rearing
-It is all right not to love (or like) the person who needs care
-Asking for help is a sign of strength
-Caregivers have a right to set limits and to say no
-Begin taking regular breaks early in caregiving- it is not selfish
-Make caregiving decisions based on the needs of everyone involved
-Moving a family member into a care facility can be the most loving step to take
-Caregiver should focus on what they have done well- and forgive themselves
Respite - ANSWER- Short-term intermittent care, often for persons with *chronic or
debilitating conditions*
-Goal= rest for family/caregiver to alleviate/prevent the stresses of caregiving
Can be for hours, days, weeks
In home or in facilities
Important for caregivers to get a true break (do not fill extra time with other careproviding
activities)
Key legislation of nursing home reform - ANSWER- *1970s*: widespread abuse of
nursing home residents
*1983*: Suffering in silence report
*1987*: OBRA passed by congress
What was part of OBRA when it passed in 1987 - ANSWER- Decrease in overuse of
antipsychotic drugs
Decreased inappropriate use of restraints
Decreased inappropriate use of foley catheters
Components that OBRA mandates - ANSWER- Provision of service requirements of
nursing facilities
Survey and certification processes
Enforcement mechanisms and sanctions
Components that OBRA mandates: Provision of service requirements of nursing
facilities - ANSWER- -Regular assessment
-Screening (preadmission and annual screening of residents)
----Minimum data set (MDS)
, ----Resident assessment protocols (RAP)
-Maintenance of minimal nurse staffing levels
-Required and approved nurse aid training programs and competency levels (classroom
training and in-services)
-Professional social worker services
-Focus on specifying and ensuring patient rights
-Provisions for discharge of residents
Minimum nurse staffing levels as mandated by OBRA - ANSWER- LPN- available 24
hours a day, 7 days a week
RN- available 8 hours a day, 7 days a week
Components that OBRA mandates: Survey and certification processes - ANSWER- -
Standard annual survey
-Special survey
-Extended survey
-Validation survey
-Special compliance survey
-State survey agencies (*Iowa Department of Inspection and Appeals (DIA)*)
Components that OBRA mandates: Enforcement mechanisms and sanctions -
ANSWER- -Corrective measures may be applied to repair deficiencies
-State DHHS may apply sanctions
---Range of penalties and severities
---Survey results and violations public information
---Aware of patterns
T/F: Residents can be discharged from nursing facilities if they fail to pay for their care
as agreed upon? - ANSWER- TRUE
-Nursing homes are run as businesses (cannot provide care if they are not paid)
Socioeconomic factors to healthcare delivery - ANSWER- Age Cohorts
Income sources (Social security, assets, retirement, gov., wages)
Insurance benefits (Medicare, Supplement Security Income (SSI)- aged, disabled, poor)
Socioeconomic changes in aging - ANSWER- -Increase in overall education level
-Older men with higher incomes (many women did not work outside of home)
-3.6 million older adults live below poverty
-Most rely on fixed incomes, social security
-Medicare for health insurance, continue working after retirement
-Home ownership= highly valued
Questions And Answers Verified 100% Correct
10 important points for dealing with caregiver burden - ANSWER- -Take care of yourself
-Maintain contact with friends and involvement in outside activities
-Caregiving to adults is more stressful than child-rearing
-It is all right not to love (or like) the person who needs care
-Asking for help is a sign of strength
-Caregivers have a right to set limits and to say no
-Begin taking regular breaks early in caregiving- it is not selfish
-Make caregiving decisions based on the needs of everyone involved
-Moving a family member into a care facility can be the most loving step to take
-Caregiver should focus on what they have done well- and forgive themselves
Respite - ANSWER- Short-term intermittent care, often for persons with *chronic or
debilitating conditions*
-Goal= rest for family/caregiver to alleviate/prevent the stresses of caregiving
Can be for hours, days, weeks
In home or in facilities
Important for caregivers to get a true break (do not fill extra time with other careproviding
activities)
Key legislation of nursing home reform - ANSWER- *1970s*: widespread abuse of
nursing home residents
*1983*: Suffering in silence report
*1987*: OBRA passed by congress
What was part of OBRA when it passed in 1987 - ANSWER- Decrease in overuse of
antipsychotic drugs
Decreased inappropriate use of restraints
Decreased inappropriate use of foley catheters
Components that OBRA mandates - ANSWER- Provision of service requirements of
nursing facilities
Survey and certification processes
Enforcement mechanisms and sanctions
Components that OBRA mandates: Provision of service requirements of nursing
facilities - ANSWER- -Regular assessment
-Screening (preadmission and annual screening of residents)
----Minimum data set (MDS)
, ----Resident assessment protocols (RAP)
-Maintenance of minimal nurse staffing levels
-Required and approved nurse aid training programs and competency levels (classroom
training and in-services)
-Professional social worker services
-Focus on specifying and ensuring patient rights
-Provisions for discharge of residents
Minimum nurse staffing levels as mandated by OBRA - ANSWER- LPN- available 24
hours a day, 7 days a week
RN- available 8 hours a day, 7 days a week
Components that OBRA mandates: Survey and certification processes - ANSWER- -
Standard annual survey
-Special survey
-Extended survey
-Validation survey
-Special compliance survey
-State survey agencies (*Iowa Department of Inspection and Appeals (DIA)*)
Components that OBRA mandates: Enforcement mechanisms and sanctions -
ANSWER- -Corrective measures may be applied to repair deficiencies
-State DHHS may apply sanctions
---Range of penalties and severities
---Survey results and violations public information
---Aware of patterns
T/F: Residents can be discharged from nursing facilities if they fail to pay for their care
as agreed upon? - ANSWER- TRUE
-Nursing homes are run as businesses (cannot provide care if they are not paid)
Socioeconomic factors to healthcare delivery - ANSWER- Age Cohorts
Income sources (Social security, assets, retirement, gov., wages)
Insurance benefits (Medicare, Supplement Security Income (SSI)- aged, disabled, poor)
Socioeconomic changes in aging - ANSWER- -Increase in overall education level
-Older men with higher incomes (many women did not work outside of home)
-3.6 million older adults live below poverty
-Most rely on fixed incomes, social security
-Medicare for health insurance, continue working after retirement
-Home ownership= highly valued
