WORKBOOK
,1
Health care agencies
FILL IN THE BLANK: KEY TERMS
Acute illness
Assisted living residence (ALR)
Case management
Chronic illness
Functional nursing
Health team
Hospice
Licensed practical nurse (LPN)
Licensed vocational nurse (LVN)
Nursing assistant
Nursing team
Patient-focused care
Primary nursing
Registered nurse (RN)
Survey
Team nursing
Terminal illness
, 1. ___________________________________ is a nursing care pattern
where the RN is responsible for the person’s total care.
2. A person who performs delegated nursing tasks under the
supervision of an RN or LPN/LVN is a
_______________________________________________.
3. An illness or injury from which the person will not likely recover is
a _______________________________.
4. A nurse who has completed a practical nursing program and has
passed a licensing test is a
_______________________________________________.
5. The ___________________________________ are those who
provide nursing care—RNs, LPNs/LVNs, and nursing assistants.
6. An illness from which the person is expected to recover is an
___________________________________.
7. _____________________________________ is a nursing care
pattern that focuses on tasks and jobs, and each nursing team
member is assigned certain tasks and jobs.
8. An ____________________________________ provides housing,
personal care, support services, health care, and social activities in
a home-like setting to persons needing help with daily activities.
9. __________________________________________ is an illness or
injury that is ongoing, slow or gradual in onset, and has no known
cure.
10. __________________________________ is a health care agency
or program that promotes comfort and quality of life for the dying
person and the family.
11. ____________________________________ have training and
licensing that is similar to the LPNs.
12. ________________________________ is a nursing care pattern in
which services for the person’s care are obtained and monitored
from admission through discharge to the home or long-term care
setting.
13. A _________________________________ is a nurse who has
completed a 2-, 3-, or 4-year nursing program and has passed a
licensing test.
, 14. The __________________________________ includes many
health care workers whose skills and knowledge focus on the
person’s total care.
15. _________________________________ is a nursing care pattern
in which an RN leads a team of nursing staff and the RN decides
the amount and kind of care each person needs.
16. When services are moved from departments to the bedside, this is a
nursing care pattern called
_______________________________________________.
17. A __________________________________ is the formal review
of an agency through the collection of facts and observations.
Circle the best answer
18. Which person is most likely to need the type of care that is
provided in a memory care unit?
A. Has chronic cardiac and respiratory problems
B. Has Alzheimer disease with wandering behaviors
C. Needs some assistance with activities of daily living
D. Has cancer and death is expected within 6 months
19. Which nursing assistant action contributes to health promotion?
A. Assists doctor with the person’s physical examination
B. Obtains stool and urine specimens as ordered
C. Encourages person to do daily recommended exercises
D. Holds infant while RN administers an immunization
20. Which nursing assistant action contributes to detection and
treatment of disease?
A. Transports person to the radiology department
B. Assists elderly person to a standing position
C. Shows respect and maintains person’s privacy
D. Assists vision-impaired person to read a lunch menu
21. Which nursing assistant action helps the person to meet the goal of
rehabilitation and restorative care?
A. Reassures person that all needs will be meet in a timely
fashion
, B. Encourages person to independently do as much self-care as
possible
C. Takes and reports vital signs according to facility protocol
D. Helps to organize and pack person’s belongings for discharge
22. Which health care agency offers care and treatment for an acute
illness?
A. A hospital
B. A long-term care center
C. An assisted living facility
D. A rehabilitation agency
23. Which person needs sub-acute care?
A. Had minor surgery for a skin condition
B. Discharged from hospital but needs complex wound care
C. Needs help with toileting, bathing and meal preparation
D. Has terminal illness and death is imminent
24. Which elderly person needs the care that is provided in a long-term
care center?
A. Developed pneumonia and now has trouble breathing
B. Sustained a hip fracture and needs physical therapy
C. Has chronic heart and respiratory problems
D. Has depression and thoughts about suicide
25. The primary difference between long-term care centers and skilled
nursing facilities is the
A. Length of stay.
B. Complexity of care.
C. Funding sources.
D. Certification of staff.
26. A person may have an apartment and receive help with personal
care when living in
A. A long-term care center
B. An assisted living facility
C. A rehabilitation care agency
D. A skilled nursing facility
27. Persons who have thoughts of harm to self or others may be treated
in a
A. Mental health center
, B. Long-term care center
C. Skilled care facility
D. Hospice
28. To work for a home care agency you must be comfortable with
A. Performing more complex care
B. Calling the doctor if the person is very ill
C. Providing care with offsite supervision
D. Helping families to resolve interpersonal problems
29. Which action would you perform to fulfill your role in hospice
care?
A. Do everything for person until he/she recovers
B. Ensure that person is clean and comfortable
C. Encourage person to eat and exercise to regain strength
D. Provide care only to meet person’s physical needs
30. The primary goal of a health care system that includes several
clinics, a hospital, a pharmacy, a skilled nursing facility and a home
health agency is to
A. Decrease the overall cost of comprehensive health care.
B. Share resources and cross-train members of the health team
C. Make medical records readily accessible across the system
D. Meet all health care needs for persons and their families
31. Which member of the health care team can recommend treatments
for a person who is having trouble swallowing?
A. Speech therapist
C. Podiatrist
B. Occupational therapist
D. Physician
32. Who would you notify if a family member has a complaint about
the nursing care?
A. Person’s primary care doctor
B. RN team leader
C. Director of nursing
D. All health care team members
33. In which circumstance are you most likely to seek assistance from
the nursing education staff?
, A. You need tutoring to pass the NATCEP competency
evaluation
B. You are unsure how to use a new automatic blood pressure
machine
C. You know that an elderly person has questions about his
medications
D. You suspect that an LPN is doing tasks that should be done by
an RN
34. Which health care team member will you notify if a resident tells
you he has pain in his foot?
A. Podiatrist
B. Physician’s assistant
C. Physical therapist
D. RN
35. An RN
A. is responsible for all of your actions and performance
B. is expected to give you clear and specific instructions
C. will complete your tasks if you cannot finish them
D. has authority to fire you for using assertive communication
36. Which action is the LPN/LVN most likely to perform?
A. Assists the nursing assistants to complete tasks
B. Assists the RN in caring for an acutely ill person
C. Assumes RN responsibilities if no RN is available
D. Claims limited authority in supervising nursing assistants
37. What is the best description of your role in the nursing care pattern
of team nursing?
A. You do whatever the team leader tells you to do
B. You help all persons who need assistance with bathing
C. Your skills and abilities are matched to persons’ needs
D. You assist the RNs and LPNs when they need help
38. In the nursing care pattern of functional nursing, you would
A. Take vital signs on all patients and report data to the licensed
nurse
B. Talk to the other nursing assistants and decide how to divide
duties
, C. Assist the RNs and LPNs after you receive specific
instructions
D. Perform total care for all patients that are assigned to you
39. In patient-focused care,
A. You would transport the patient to the diagnostic testing
center
B. The patient directs the focus and type of the care and
treatment
C. The RN would draw blood sample at the patient’s bedside
D. The patient is invited to actively participate in care
conferences
40. Which action would you perform to contain health care costs for a
person who has Medicare coverage?
A. Complete care and duties as quickly and efficiently as
possible
B. Assist the person to be discharged to home as soon as possible
C. Limit the amount and use of supplies that are charged to the
person
D. Follow the RN’s instructions for the prevention of pressure
injuries
41. Which action should you perform to help your health care agency
to meet the standards of licensure, certification, or accreditation?
A. Close the door when assisting a patient or resident to bathe
B. Describe the NATCEP testing process to the surveyor
C. Memorize all policies and procedures related to your job
D. Assist patients or residents whenever they ask for your help
42. A confused elderly resident tells you he doesn’t have any money to
pay you for your help or to pay the bill for the long-term care
center. What should you do?
A. Reassure him that you will care for him no matter how much
money he has
B. Tell him not to worry about it and change the subject
C. Find out who is paying the bills for the resident
D. Tell the charge nurse about the resident’s concerns
43. Which rationale would support your choice to work for an
accredited health care agency?
, A. All health care team members are licensed and experienced
B. Any person needing care is accepted regardless of income
level
C. Voluntary review shows that a high quality of care is provided
D. Facility is likely to offer promotions, a good salary and
benefits
44. Which action should you take if a deficiency is found during a
survey of a health care agency where you work?
A. Seek a new job with a different agency within 60 days
B. Ask if your responses to surveyor’s questions created a
problem
C. Give honest information about the deficiency to
patients/residents
D. Follow instructions from the team leader to correct the
deficiency
45. If you do not understand a question that is posed by a surveyor,
what should you do?
A. Explain that you are not allowed to answer any questions
B. Answer the question to the best of your ability
C. Tell the surveyor that you do not know the answer
D. Ask the surveyor to restate or rephrase the question
Matching
Match the type of health care agency with
the service provided.
A. hospital
B. rehabilitation agency
C. long-term care center
D. mental health center
E. home care agency
F. hospice
G. skilled nursing facility