C HAPTER 38: L ONG -T ERM C ARE
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The Omnibus Budget Reconciliation Act ( OBRA) defines the requirements
for which aspect of care as it relates to long -term care?
a. Nursing care
b. Nutritional support
c. Qualit y of care
d. Staffing requirements
ANS: C
OBRA defines requirements for the quality of care given to residents of
long-term care facilities.
DIF: Cognitive Level: Comprehension REF: p. 1182
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: Planning MSC: NC LEX: Health Promotion
and Maintenance
2. The Health Care Financing Administration (HCFA) conducts unannounced
institutional surveys annuall y to assess the qualit y of life for the patients.
The findings of the surveys are reported to:
a. various licensing boards.
b. facilit y administrators.
c. the public.
, d. the US Department of Health and Human Services.
ANS: C
Surveyors are requir ed by law to visit the long -term care facilit y
unannounced, on an annual basis and as needed, and the report is made
public.
DIF: Cognitive Level: Comprehension REF: p. 1182
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
3. A 48-year-old long-term care facilit y resident expresses concern that the
cost of his care has used up his assets. For what program should the nurse
suggest that the resident appl y to cover the continued cost of living in a
long-term facilit y?
a. Medicare
b. Hospitalization insurance
c. Medicaid
d. Public health funds
ANS: C
When adults have used all of their assets, they may then qualify for
Medicaid. Medicaid is a federall y funded, state -operated program of
medical assistance f or people with low incomes.
, DIF: Cognitive Level: Anal ysis REF: p. 1182 OBJ: 3
TOP: Long-term care KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. Although the Occupational Safet y and Health Act (OSHA) increases the
cost of care, what is a benefit that it provides for long -term care?
a. It ensures a safe environment for personnel.
b. It ensures that medications are administered safel y.
c. It ensures that food is prepared safel y.
d. It ensures safe ambulation and transportation of pati ents.
ANS: A
The OSHA guidelines significantl y increase costs, but they also ensure
a safe environment for personnel, which is mandatory today.
DIF: Cognitive Level: Comprehension REF: p. 1183
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: N/A MSC: NC LEX: N/A
5. A nurse helps a family understand that once hospice service is initiated,
the focus of care changes from rehabilitation and restoration to what t ype
of care?
a. Maintaining the patient at the optimal level
b. Assisting with funeral planning
c. Relieving the famil y of care
d. Maintaining comfort as death approaches
ANS: D
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The Omnibus Budget Reconciliation Act ( OBRA) defines the requirements
for which aspect of care as it relates to long -term care?
a. Nursing care
b. Nutritional support
c. Qualit y of care
d. Staffing requirements
ANS: C
OBRA defines requirements for the quality of care given to residents of
long-term care facilities.
DIF: Cognitive Level: Comprehension REF: p. 1182
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: Planning MSC: NC LEX: Health Promotion
and Maintenance
2. The Health Care Financing Administration (HCFA) conducts unannounced
institutional surveys annuall y to assess the qualit y of life for the patients.
The findings of the surveys are reported to:
a. various licensing boards.
b. facilit y administrators.
c. the public.
, d. the US Department of Health and Human Services.
ANS: C
Surveyors are requir ed by law to visit the long -term care facilit y
unannounced, on an annual basis and as needed, and the report is made
public.
DIF: Cognitive Level: Comprehension REF: p. 1182
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
3. A 48-year-old long-term care facilit y resident expresses concern that the
cost of his care has used up his assets. For what program should the nurse
suggest that the resident appl y to cover the continued cost of living in a
long-term facilit y?
a. Medicare
b. Hospitalization insurance
c. Medicaid
d. Public health funds
ANS: C
When adults have used all of their assets, they may then qualify for
Medicaid. Medicaid is a federall y funded, state -operated program of
medical assistance f or people with low incomes.
, DIF: Cognitive Level: Anal ysis REF: p. 1182 OBJ: 3
TOP: Long-term care KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. Although the Occupational Safet y and Health Act (OSHA) increases the
cost of care, what is a benefit that it provides for long -term care?
a. It ensures a safe environment for personnel.
b. It ensures that medications are administered safel y.
c. It ensures that food is prepared safel y.
d. It ensures safe ambulation and transportation of pati ents.
ANS: A
The OSHA guidelines significantl y increase costs, but they also ensure
a safe environment for personnel, which is mandatory today.
DIF: Cognitive Level: Comprehension REF: p. 1183
OBJ: 3 TOP: Long-term care KEY: Nursing
Process Step: N/A MSC: NC LEX: N/A
5. A nurse helps a family understand that once hospice service is initiated,
the focus of care changes from rehabilitation and restoration to what t ype
of care?
a. Maintaining the patient at the optimal level
b. Assisting with funeral planning
c. Relieving the famil y of care
d. Maintaining comfort as death approaches
ANS: D
