Eliopoulos Chapter 34: Long-Term Care | Simplified
Study Guide, Key Concepts & Actual Exam Questions
and Correct Answers | Frequently Tested Questions
and 100% Accurate | High yield Questions and Answers
| Latest Exam and Brand New Version!!!
1. Which of the following statements most accurately captures an aspect of
long-term care in the United States?
A) The acuity of long-term-care facilities is decreasing as the acuity of older
hospital patients increases.
B) Both the number of long-term-care facilities and the number of residents they
house are rapidly increasing.
C) Most older adults of the current generation will require some form of long-
term care at some point in their lives.
D) Interventions that were formerly available in long-term-care facilities are now
often restricted to hospital settings.
ANSWER:<<C) Most older adults of the current generation will require some
form of long-term care at some point in their lives.
who were unable to meet the standards required for
2. Which of the following factors provided the most significant impetus for the
improvement in the quality of nursing homes that occurred in
the 1980s?
A)Nursing research demonstrating the harmful effects of substandard care
B) The risks of losing federal funding faced by deficient nursing homes
C) Public relations efforts by families of long-term-care residents and nursing
organizations
D)Unflattering media reports of long-term-care practices
,ANSWER:<<B) The risks of losing federal funding faced by deficient nursing
homes
3. The family of an 84-year-old female resident of a long-term-care facility is
profoundly dissatisfied with the environment and the quality of care that the
woman is receiving. Which of the following aspects of the facility can be
considered a throwback to the pre-20th century history of
long-term care?
A) The facility has copious rules and rigidly enforced schedules.
B) The facility emphasizes psychiatric care over physical care.
C) Volunteers provide the majority of direct patient care.
D) The facility is entirely dependent on government money for its operation.
ANSWER:<<A) The facility has copious rules and rigidly enforced schedules.
4. The colleague of a nurse who provides care in a long-term-care facility
consistently refers to their workplace as a "nursing home." Which
of the following historical facts may underlie the colleague's choice of words?
A) Early care facilities did not provide care for the long term, but rather provided
temporary respite by nurses.
B) Residential care providers early in the 20th century began to call themselves
nurses.
C) Government funding for care facilities was tied to their designation as a home
staffed by credentialed nurses.
D) Long-term-care facilities were differentiated from hospitals by the absence of
physician-led care.
ANSWER:<<B) Residential care providers early in the 20th century began to call
themselves nurses.
5. The daughter of an 86-year-old man with stage 3 Alzheimer's disease has
suggested exploring long-term-care facilities as a way of meeting his increasing
daily needs. The man is strongly opposed to entertaining the possibility, stating,
"We put my granddad in one of those 45 years ago and it was a horror for him."
Which of the following historical phenomena may explain the man's reaction and
his grandfather's negative experience in long-term care?
A) Nursing homes in the 20th century often attracted care providers who were
unable to meet the standards required for working in a hospital context.
B) Philosophies of care in the mid-20th century emphasized minimal assistance
,with ADLs.
C) Evidence-based gerontological nursing did not exist during the era in
question.
D) Nursing homes in the 1960s proliferated in number, but standards of care
were low and enforcement was lacking.
ANSWER:<<A) Nursing homes in the 20th century often attracted care providers
who were unable to meet the standards required for
6. Which of the following factors provided the most significant impetus for the
improvement in the quality of nursing homes that occurred in
the 1980s?
A)Nursing research demonstrating the harmful effects of substandard care
B) The risks of losing federal funding faced by deficient nursing homes
C) Public relations efforts by families of long-term-care residents and nursing
organizations
D)Unflattering media reports of long-term-care practices
ANSWER:<<B) The risks of losing federal funding faced by deficient nursing
homes
6. Three gerontological nurses have announced their intention to open a long-
term-care facility in their community, something that a colleague has disparaged
as "making money from older adults' frailty." How can the nurses best respond
to their colleague's criticism?
A) "It can actually be in the best interests of residents for experts in care, like
nurses, to be in charge of directing care."
B) "One of the freedoms we enjoy in a free-market system is the opportunity to
make a profit from a variety of enterprises."
C) "If nurses don't control long-term care then it will be controlled by corporate
interests that lack any form of conscience."
D) "Actually, nursing homes run by nurses can qualify for increased federal and
state funding, a situation that ultimately benefits
residents."
ANSWER:<<A) "It can actually be in the best interests of residents for experts in
care, like nurses, to be in charge of directing care."
7. In the wake of an inspection and audit that revealed serious lapses in care,
the recently hired nurse manager of a long-term-care facility has been
commissioned with bringing the facility in accordance with standards. Which of
, the following sources should the nurse use to determine the scope of
improvements?
A) Federally mandated standards and state standards if the state specifies its
own higher standards
B) Standards determined by the Joint Commission
C) Standards identified by the federal government
D) State standards and standards dictated by the American Nurses Association
ANSWER:<<A) Federally mandated standards and state standards if the state
specifies its own higher standards
8. The wife and daughter of Mr. B, an 80-year-old man, are experiencing guilt
and doubt about their recent decision to place him in a long-term-care facility,
despite the fact that his declining functional level justifies the move. Which of the
following actions by the nurses at the facility
is likely to ease the women's anxiety about admitting Mr. B? Select all that apply.
A) The nurse manager of the facility has placed the women in contact with
another resident's family who have recently gone
through the same experience.
B) The designated visiting hours are made clear to both Mr. B and his family so
that Mr. B does not await their visits when
prohibited.
C) Staff encourage the family to use an activity room or the outdoors during their
visits.
D) The nurses explain the rationale for barring the family from bringing food
from home to Mr. B.
E) The wife and daughter are encouraged to participate in Mr. B's care.
ANSWER:<<A) The nurse manager of the facility has placed the women in
contact with another resident's family who have recently gone through the
same experience.
C) Staff encourage the family to use an activity room or the outdoors
during their visits.
E) The wife and daughter are encouraged to participate in Mr. B's
care.
9. A small long-term-care facility employs several unlicensed caregivers and
one registered nurse. The nurse consequently holds the responsibility for
numerous aspects of residents' care. Which of the following pressing
responsibilities should the nurse prioritize and perform as soon as possible?
Study Guide, Key Concepts & Actual Exam Questions
and Correct Answers | Frequently Tested Questions
and 100% Accurate | High yield Questions and Answers
| Latest Exam and Brand New Version!!!
1. Which of the following statements most accurately captures an aspect of
long-term care in the United States?
A) The acuity of long-term-care facilities is decreasing as the acuity of older
hospital patients increases.
B) Both the number of long-term-care facilities and the number of residents they
house are rapidly increasing.
C) Most older adults of the current generation will require some form of long-
term care at some point in their lives.
D) Interventions that were formerly available in long-term-care facilities are now
often restricted to hospital settings.
ANSWER:<<C) Most older adults of the current generation will require some
form of long-term care at some point in their lives.
who were unable to meet the standards required for
2. Which of the following factors provided the most significant impetus for the
improvement in the quality of nursing homes that occurred in
the 1980s?
A)Nursing research demonstrating the harmful effects of substandard care
B) The risks of losing federal funding faced by deficient nursing homes
C) Public relations efforts by families of long-term-care residents and nursing
organizations
D)Unflattering media reports of long-term-care practices
,ANSWER:<<B) The risks of losing federal funding faced by deficient nursing
homes
3. The family of an 84-year-old female resident of a long-term-care facility is
profoundly dissatisfied with the environment and the quality of care that the
woman is receiving. Which of the following aspects of the facility can be
considered a throwback to the pre-20th century history of
long-term care?
A) The facility has copious rules and rigidly enforced schedules.
B) The facility emphasizes psychiatric care over physical care.
C) Volunteers provide the majority of direct patient care.
D) The facility is entirely dependent on government money for its operation.
ANSWER:<<A) The facility has copious rules and rigidly enforced schedules.
4. The colleague of a nurse who provides care in a long-term-care facility
consistently refers to their workplace as a "nursing home." Which
of the following historical facts may underlie the colleague's choice of words?
A) Early care facilities did not provide care for the long term, but rather provided
temporary respite by nurses.
B) Residential care providers early in the 20th century began to call themselves
nurses.
C) Government funding for care facilities was tied to their designation as a home
staffed by credentialed nurses.
D) Long-term-care facilities were differentiated from hospitals by the absence of
physician-led care.
ANSWER:<<B) Residential care providers early in the 20th century began to call
themselves nurses.
5. The daughter of an 86-year-old man with stage 3 Alzheimer's disease has
suggested exploring long-term-care facilities as a way of meeting his increasing
daily needs. The man is strongly opposed to entertaining the possibility, stating,
"We put my granddad in one of those 45 years ago and it was a horror for him."
Which of the following historical phenomena may explain the man's reaction and
his grandfather's negative experience in long-term care?
A) Nursing homes in the 20th century often attracted care providers who were
unable to meet the standards required for working in a hospital context.
B) Philosophies of care in the mid-20th century emphasized minimal assistance
,with ADLs.
C) Evidence-based gerontological nursing did not exist during the era in
question.
D) Nursing homes in the 1960s proliferated in number, but standards of care
were low and enforcement was lacking.
ANSWER:<<A) Nursing homes in the 20th century often attracted care providers
who were unable to meet the standards required for
6. Which of the following factors provided the most significant impetus for the
improvement in the quality of nursing homes that occurred in
the 1980s?
A)Nursing research demonstrating the harmful effects of substandard care
B) The risks of losing federal funding faced by deficient nursing homes
C) Public relations efforts by families of long-term-care residents and nursing
organizations
D)Unflattering media reports of long-term-care practices
ANSWER:<<B) The risks of losing federal funding faced by deficient nursing
homes
6. Three gerontological nurses have announced their intention to open a long-
term-care facility in their community, something that a colleague has disparaged
as "making money from older adults' frailty." How can the nurses best respond
to their colleague's criticism?
A) "It can actually be in the best interests of residents for experts in care, like
nurses, to be in charge of directing care."
B) "One of the freedoms we enjoy in a free-market system is the opportunity to
make a profit from a variety of enterprises."
C) "If nurses don't control long-term care then it will be controlled by corporate
interests that lack any form of conscience."
D) "Actually, nursing homes run by nurses can qualify for increased federal and
state funding, a situation that ultimately benefits
residents."
ANSWER:<<A) "It can actually be in the best interests of residents for experts in
care, like nurses, to be in charge of directing care."
7. In the wake of an inspection and audit that revealed serious lapses in care,
the recently hired nurse manager of a long-term-care facility has been
commissioned with bringing the facility in accordance with standards. Which of
, the following sources should the nurse use to determine the scope of
improvements?
A) Federally mandated standards and state standards if the state specifies its
own higher standards
B) Standards determined by the Joint Commission
C) Standards identified by the federal government
D) State standards and standards dictated by the American Nurses Association
ANSWER:<<A) Federally mandated standards and state standards if the state
specifies its own higher standards
8. The wife and daughter of Mr. B, an 80-year-old man, are experiencing guilt
and doubt about their recent decision to place him in a long-term-care facility,
despite the fact that his declining functional level justifies the move. Which of the
following actions by the nurses at the facility
is likely to ease the women's anxiety about admitting Mr. B? Select all that apply.
A) The nurse manager of the facility has placed the women in contact with
another resident's family who have recently gone
through the same experience.
B) The designated visiting hours are made clear to both Mr. B and his family so
that Mr. B does not await their visits when
prohibited.
C) Staff encourage the family to use an activity room or the outdoors during their
visits.
D) The nurses explain the rationale for barring the family from bringing food
from home to Mr. B.
E) The wife and daughter are encouraged to participate in Mr. B's care.
ANSWER:<<A) The nurse manager of the facility has placed the women in
contact with another resident's family who have recently gone through the
same experience.
C) Staff encourage the family to use an activity room or the outdoors
during their visits.
E) The wife and daughter are encouraged to participate in Mr. B's
care.
9. A small long-term-care facility employs several unlicensed caregivers and
one registered nurse. The nurse consequently holds the responsibility for
numerous aspects of residents' care. Which of the following pressing
responsibilities should the nurse prioritize and perform as soon as possible?
