,Instructor’s Guide for
Hartman’s Nursing Assistant Care
Long-Term Care
fourth edition
by Hartman Publishing, Inc.
,ii
Credits
Managing Editor
Susan Alvare Hedman
Cover Illustrator
Iveta Vaicule
Production
Tracy Kopsachilis
Copyright Information
© 2018 by Hartman Publishing, Inc.
1313 Iron Avenue SW
Albuquerque, New Mexico 87102
(505) 291-1274
web: hartmanonline.com
e-mail:
Twitter: @HartmanPub
All rights reserved. No part of this book may be reproduced, in any form or by any means, without permission in writing
from the publisher.
ISBN 978-1-60425-076-3
PRINTED IN THE USA
Notice to Readers
Though the guidelines and procedures contained in this text are based on consultations with healthcare professionals, they
should not be considered absolute recommendations. The instructor and readers should follow employer, local, state, and
federal guidelines concerning healthcare practices. These guidelines change, and it is the reader’s responsibility to be aware
of these changes and of the policies and procedures of her or his healthcare facility.
The publisher, authors, editors, and reviewers cannot accept any responsibility for errors or omissions or for any conse-
quences from application of the information in this book and make no warranty, express or implied, with respect to the
contents of the book. The publisher does not warrant or guarantee any of the products described herein or perform any
analysis in connection with any of the product information contained herein.
, iii
Table of Contents
Preface v Appendix G Final Exam 479
Appendix H Answer Key for Final Exam 488
Lesson Plans Appendix I Final Exam 2 491
1 Understanding Healthcare Settings 1 Appendix J Answer Key for Final Exam 2 497
2 The Nursing Assistant and the Care Team 6 Appendix K Workbook Answer Key and Practice Exam
Answer Key 499
3 Legal and Ethical Issues 12
Appendix L Answer Key for Chapter Review Questions 539
4 Communication and Cultural Diversity 19
5 Infection Prevention and Control 28
6 Safety and Body Mechanics 37
7 Emergency Care and Disaster Preparation 44
8 Human Needs and Human Development 50
9 The Healthy Human Body 61
10 Positioning, Transfers, and Ambulation 69
11 Admitting, Transferring, and Discharging 74
12 The Resident’s Unit 79
13 Personal Care Skills 83
14 Basic Nursing Skills 91
15 Nutrition and Hydration 100
16 Urinary Elimination 111
17 Bowel Elimination 117
18 Common Chronic and Acute Conditions 123
19 Confusion, Dementia, and Alzheimer’s Disease 140
20 Mental Health and Mental Illness 149
21 Rehabilitation and Restorative Care 154
22 Special Care Skills 159
23 Dying, Death, and Hospice 167
24 Caring for Your Career and Yourself 173
Appendices
Appendix A Transparency Masters 181
Appendix B Handouts 276
Appendix C Chapter Exams 325
Appendix D Answer Key for Chapter Exams 382
Appendix E 2nd Set of Chapter Exams 392
Appendix F Answer Key for 2nd Set of Chapter Exams 467
,iv
, v
Preface
Welcome to the instructor’s guide for Hartman’s Nursing Assistant Care: Long-Term Care! We want to
be your teaching partner, and we have tried to make this the most useful instructor’s guide we have
ever written. If you have suggestions for improving it, please let us know. If you teach topics not cov-
ered in the book, call us and we will do something about it!
Like the textbook and the workbook, the instructor’s guide is organized around learning objectives,
which should make teaching the material much simpler. We have included the textbook and work-
book page numbers to make it easier for you to assign readings and exercises to your students.
Appendix A contains all of the transparency masters that we have created for this course, and Ap-
pendix B contains the handouts. There are exams for all chapters located in Appendix C. Appen-
dix D contains the answers for each chapter’s exams. Appendix E contains a second set of chapter
exams for each chapter, and Appendix F has the answers to those exams. Appendix G contais a final
exam and Appendix H has the answers to that exam. Appendix I contains a shorter, additional final
exam, and Appendix J contains the answers to that exam. Appendix K contains the workbook an-
swer key and the answer key for the chapter exam. Appendix L contains the answers to the chapter
review questions.
Hartman Publishing’s complete instructor’s guides (lesson plans, transparency masters, key mate-
rial, handouts, exams, PowerPoint slides, key terms, and procedure checklists) are legally protected
by United States copyright law. Each instructor’s guide is licensed for use as part of an adoption and
purchase of textbooks. If every student in your course has a purchased textbook, and we are able to
verify your purchases of Hartman books, you are free to make as many copies as you need of the
instructor’s guide for use at your facility, school, or agency, as well as to modify items to suit your
teaching needs. Electronic or online use is limited and conditional: permission is conveyed only to
purchasing institutions and the material can only be accessed by students and instructors via a pri-
vate, password-protected, non-public portal. Posting or uploading of Hartman Publishing’s material
to a public website is expressly prohibited.
This instructor’s guide, along with additional exams, critical thinking questions, and other teaching
material, is available at no charge for registered users at Hartman Publishing’s instructor’s website:
instructors.hartmanonline.com.
We hope you find this guide helpful, thorough, and engaging. Call us with your feedback and sug-
gestions! We would love to hear from you.
Happy teaching!
,vi
, 1
1
Understanding Healthcare Settings
1. Discuss the structure of the healthcare system and describe ways it is changing
2. Describe a typical long-term care facility
3. Describe residents who live in long-term care facilities
4. Explain policies and procedures
5. Describe the long-term care survey process
6. Explain Medicare and Medicaid
7. Discuss the terms culture change and person-centered care
Supplemental Tools
transparency 1-1 traditional healthcare • Skilled care
system • Length of stay
transparency 1-2 residents in ltc facilities • Terminal illness
transparency 1-3 facts about medicare • Chronic
and medicaid
• Home health care
chapter 1: exam
• Diagnoses
Assignments • Assisted living
textbook reading: pp. 1-8 • Dementia
workbook exercises: pp. 1-4 • Adult day services
Overview of Teaching Strategies • Acute care
The purpose of the teaching strategy for this chap- • Subacute care
ter is to describe various healthcare settings, with • Outpatient care
an emphasis on long-term care. Students will learn
how LTC is paid for and will be introduced to the • Rehabilitation
types of residents for whom they will care. • Hospice care
• Managed care
1. Discuss the structure of the healthcare • Health maintenance organizations (HMOs)
system and describe ways it is changing • Preferred provider organizations (PPOs)
Meeting the Learning Objective Display Transparency
textbook pp. 1-4 1-1 traditional healthcare system
workbook pp. 1-2
Discuss the evolution of health care, using this
Lecture transparency or creating one of your own as part
Define the following terms: of the lecture. Emphasize major changes in the
healthcare system:
• Providers
• Increased use of expensive technology
• Facilities
• Rising costs of health care
• Payers
• New ways to control costs of care
• Long-term care (LTC)
Hartman’s Nursing Assistant Care
Long-Term Care
fourth edition
by Hartman Publishing, Inc.
,ii
Credits
Managing Editor
Susan Alvare Hedman
Cover Illustrator
Iveta Vaicule
Production
Tracy Kopsachilis
Copyright Information
© 2018 by Hartman Publishing, Inc.
1313 Iron Avenue SW
Albuquerque, New Mexico 87102
(505) 291-1274
web: hartmanonline.com
e-mail:
Twitter: @HartmanPub
All rights reserved. No part of this book may be reproduced, in any form or by any means, without permission in writing
from the publisher.
ISBN 978-1-60425-076-3
PRINTED IN THE USA
Notice to Readers
Though the guidelines and procedures contained in this text are based on consultations with healthcare professionals, they
should not be considered absolute recommendations. The instructor and readers should follow employer, local, state, and
federal guidelines concerning healthcare practices. These guidelines change, and it is the reader’s responsibility to be aware
of these changes and of the policies and procedures of her or his healthcare facility.
The publisher, authors, editors, and reviewers cannot accept any responsibility for errors or omissions or for any conse-
quences from application of the information in this book and make no warranty, express or implied, with respect to the
contents of the book. The publisher does not warrant or guarantee any of the products described herein or perform any
analysis in connection with any of the product information contained herein.
, iii
Table of Contents
Preface v Appendix G Final Exam 479
Appendix H Answer Key for Final Exam 488
Lesson Plans Appendix I Final Exam 2 491
1 Understanding Healthcare Settings 1 Appendix J Answer Key for Final Exam 2 497
2 The Nursing Assistant and the Care Team 6 Appendix K Workbook Answer Key and Practice Exam
Answer Key 499
3 Legal and Ethical Issues 12
Appendix L Answer Key for Chapter Review Questions 539
4 Communication and Cultural Diversity 19
5 Infection Prevention and Control 28
6 Safety and Body Mechanics 37
7 Emergency Care and Disaster Preparation 44
8 Human Needs and Human Development 50
9 The Healthy Human Body 61
10 Positioning, Transfers, and Ambulation 69
11 Admitting, Transferring, and Discharging 74
12 The Resident’s Unit 79
13 Personal Care Skills 83
14 Basic Nursing Skills 91
15 Nutrition and Hydration 100
16 Urinary Elimination 111
17 Bowel Elimination 117
18 Common Chronic and Acute Conditions 123
19 Confusion, Dementia, and Alzheimer’s Disease 140
20 Mental Health and Mental Illness 149
21 Rehabilitation and Restorative Care 154
22 Special Care Skills 159
23 Dying, Death, and Hospice 167
24 Caring for Your Career and Yourself 173
Appendices
Appendix A Transparency Masters 181
Appendix B Handouts 276
Appendix C Chapter Exams 325
Appendix D Answer Key for Chapter Exams 382
Appendix E 2nd Set of Chapter Exams 392
Appendix F Answer Key for 2nd Set of Chapter Exams 467
,iv
, v
Preface
Welcome to the instructor’s guide for Hartman’s Nursing Assistant Care: Long-Term Care! We want to
be your teaching partner, and we have tried to make this the most useful instructor’s guide we have
ever written. If you have suggestions for improving it, please let us know. If you teach topics not cov-
ered in the book, call us and we will do something about it!
Like the textbook and the workbook, the instructor’s guide is organized around learning objectives,
which should make teaching the material much simpler. We have included the textbook and work-
book page numbers to make it easier for you to assign readings and exercises to your students.
Appendix A contains all of the transparency masters that we have created for this course, and Ap-
pendix B contains the handouts. There are exams for all chapters located in Appendix C. Appen-
dix D contains the answers for each chapter’s exams. Appendix E contains a second set of chapter
exams for each chapter, and Appendix F has the answers to those exams. Appendix G contais a final
exam and Appendix H has the answers to that exam. Appendix I contains a shorter, additional final
exam, and Appendix J contains the answers to that exam. Appendix K contains the workbook an-
swer key and the answer key for the chapter exam. Appendix L contains the answers to the chapter
review questions.
Hartman Publishing’s complete instructor’s guides (lesson plans, transparency masters, key mate-
rial, handouts, exams, PowerPoint slides, key terms, and procedure checklists) are legally protected
by United States copyright law. Each instructor’s guide is licensed for use as part of an adoption and
purchase of textbooks. If every student in your course has a purchased textbook, and we are able to
verify your purchases of Hartman books, you are free to make as many copies as you need of the
instructor’s guide for use at your facility, school, or agency, as well as to modify items to suit your
teaching needs. Electronic or online use is limited and conditional: permission is conveyed only to
purchasing institutions and the material can only be accessed by students and instructors via a pri-
vate, password-protected, non-public portal. Posting or uploading of Hartman Publishing’s material
to a public website is expressly prohibited.
This instructor’s guide, along with additional exams, critical thinking questions, and other teaching
material, is available at no charge for registered users at Hartman Publishing’s instructor’s website:
instructors.hartmanonline.com.
We hope you find this guide helpful, thorough, and engaging. Call us with your feedback and sug-
gestions! We would love to hear from you.
Happy teaching!
,vi
, 1
1
Understanding Healthcare Settings
1. Discuss the structure of the healthcare system and describe ways it is changing
2. Describe a typical long-term care facility
3. Describe residents who live in long-term care facilities
4. Explain policies and procedures
5. Describe the long-term care survey process
6. Explain Medicare and Medicaid
7. Discuss the terms culture change and person-centered care
Supplemental Tools
transparency 1-1 traditional healthcare • Skilled care
system • Length of stay
transparency 1-2 residents in ltc facilities • Terminal illness
transparency 1-3 facts about medicare • Chronic
and medicaid
• Home health care
chapter 1: exam
• Diagnoses
Assignments • Assisted living
textbook reading: pp. 1-8 • Dementia
workbook exercises: pp. 1-4 • Adult day services
Overview of Teaching Strategies • Acute care
The purpose of the teaching strategy for this chap- • Subacute care
ter is to describe various healthcare settings, with • Outpatient care
an emphasis on long-term care. Students will learn
how LTC is paid for and will be introduced to the • Rehabilitation
types of residents for whom they will care. • Hospice care
• Managed care
1. Discuss the structure of the healthcare • Health maintenance organizations (HMOs)
system and describe ways it is changing • Preferred provider organizations (PPOs)
Meeting the Learning Objective Display Transparency
textbook pp. 1-4 1-1 traditional healthcare system
workbook pp. 1-2
Discuss the evolution of health care, using this
Lecture transparency or creating one of your own as part
Define the following terms: of the lecture. Emphasize major changes in the
healthcare system:
• Providers
• Increased use of expensive technology
• Facilities
• Rising costs of health care
• Payers
• New ways to control costs of care
• Long-term care (LTC)
