NYU nursing A&E III exam 1 questions with complete solutions

Nine Emerging global trends correct answer: 1. overall aging population 2. increasing life expectancy 3. rising number of oldest old 4. chronic diseases are major cause of death 5. some total populations will shrink 6. changing family structure 7. shifting patterns of work & retirement 8. changing social insurance systems 9. new economic challenges Nurse roles in caring for older adults correct answer: generalist and specialist -direct care providers -case managers -nurse leaders -educators -patient advocates -administrators -research Sub-acute care correct answer: (medicare reimbursed, short stay) -A 3 day qualifying stay in a hospital is required for skilled care to receive Medicare reimbursement in a long-term care facility -periodic recertification that documents the continued need for skilled care -resident's progress toward established goals -one hundred days of skilled care can be reimbursed per year -heavily regulated Chronic care correct answer: (private pay or medicaid) for frail elderly residents requiring help with their activities of daily living Minimum data set (MDS) correct answer: a comprehensive multidisciplinary assessment done in the skilled nursing facility. used throughout the US: -validate need for long term care -provide data for reimbursement -maintain an ongoing assessment of clinical problems -assess and alter the current plan of care as needed Adult day care correct answer: an option for frail elders requiring daytime supervision -vary in degree in services: rehab, nursing treatments, counseling, medical care --many services are optional to meet needs and caregiver schedule --medical insurance dose not usually cover charges residential care facilities/assisted living correct answer: -residents provide most self-care -additional assistance for laundry, meals, and housekeeping -supervision and health monitoring provided Community nursing care correct answer: -visiting nurse services for older persons required skilled care in the home -provided by personnel with a variety of skill levels -usually covered by medicare when need for service exists under the direction of a physician older adults expect... correct answer: -mobility: "walking unassisted" -ADL: "taking care of oneself" -continuity in roles, routines, & relationships: "get out and keep moving", "clean the church", "take care of the kids" -Discharge status: "going home in good enough shape to do what's important to met", "going home better no