1
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NURS 5462 LTC Questions and Answers
(100% Correct Answers) Already Graded
A+
Know and understand: [ Ans: ] • The characteristics of the
nursing-home population • Risk factors for admission to a nursing
home • The requirements of the Omnibus Budget Reconciliation
Act of 1987 • The physician's clinical, ethical, and legal
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responsibilities to nursing-home resident
THE NURSING-HOME POPULATION [ Ans: ] Impairment in decision-
making 81%
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Need assistance with 3+ ADLs 75%
Need assistance with 1-2 ADLs 22%
Dementia 50%-70%
Orientation and/or memory
problems 66%
Communication problems 60% Bowel or bladder incontinence
54% Visual impairment 39% Hearing impairment 36% Behavioral
problems 33%+ Depression 20%--Almost half are 85 years 72% 28%
Women Men The majority are women, widowed, with few social
supports
POSTACUTE CARE IN NURSING HOMES [ Ans: ] Response to
declining length of hospital stays: services varies by locale: ➢
Dialysis ➢ Orthopedic care ➢ Ventilators ➢ Post-operative care ➢
Rehabilitative care ➢ Wound care
MEDICARE PAYMENTS FOR NURSING-HOME CARE [ Ans: ]
predicated on patient's functional needs and rehabilitative
potential • Gains in function must be carefully documented to
ensure reimbursement for rehabilitative services
, 2
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FACTORS ASSOCIATED WITH NURSING-HOME PLACEMENT [ Ans: ]
• Increasing age
• Low income
• Poor family supports (especially lack of spouse
and children)
• Accepting attitude toward nursing homes
• Cognitive and functional impairment
INTERFACE OF ACUTE AND LONG-TERM CARE [ Ans: ] Suboptimal
information transfer is common: ➢ Missing or illegible transfer
summaries ➢ Omission of prescribed medications ➢ Advance
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directives not documented ➢ Psychosocial issues and behavior
problems not reported**•Current regulatory framework used to
protect residents
THE OMNIBUS BUDGET RECONCILIATION ACT OF 1987 [ Ans: ] Set
Guru01 - Stuvia
training guidelines and minimum staffing requirements for nursing
homes • Bolstered residents' rights: ➢ Limited use of restraints ➢
Limited use of psychoactive medications • Initiated the Minimum
Data Set (MDS) • Required documentation of the need for all
medications, particularly psychoactive agents
MEDICATION ISSUES AND THE 1987 ACT [ Ans: ] Use of specific
banned drugs can result in citation, ➢ In excessive doses ➢ For
excessive periods of time ➢ Without adequate monitoring ➢
Without adequate indications for use ➢ In the presence of
adverse consequences indicating the need for dose reduction or
discontinuation
THE MINIMUM DATA SET (MDS) [ Ans: ] • Periodic comprehensive
clinical assessment of all residents • Addresses >50 domains of
health and function, such as depression, weight loss, cognitive
impairment, and sensory loss • Identification of current or potential
problem triggers review of diagnostic and therapeutic protocols
IMPACT OF MDS [ Ans: ] • National set of quality indicators
based on MDS allows facilities to compare their performance to
For Expert help and assignment solutions, +254707240657
NURS 5462 LTC Questions and Answers
(100% Correct Answers) Already Graded
A+
Know and understand: [ Ans: ] • The characteristics of the
nursing-home population • Risk factors for admission to a nursing
home • The requirements of the Omnibus Budget Reconciliation
Act of 1987 • The physician's clinical, ethical, and legal
© 2025 Assignment Expert
responsibilities to nursing-home resident
THE NURSING-HOME POPULATION [ Ans: ] Impairment in decision-
making 81%
Guru01 - Stuvia
Need assistance with 3+ ADLs 75%
Need assistance with 1-2 ADLs 22%
Dementia 50%-70%
Orientation and/or memory
problems 66%
Communication problems 60% Bowel or bladder incontinence
54% Visual impairment 39% Hearing impairment 36% Behavioral
problems 33%+ Depression 20%--Almost half are 85 years 72% 28%
Women Men The majority are women, widowed, with few social
supports
POSTACUTE CARE IN NURSING HOMES [ Ans: ] Response to
declining length of hospital stays: services varies by locale: ➢
Dialysis ➢ Orthopedic care ➢ Ventilators ➢ Post-operative care ➢
Rehabilitative care ➢ Wound care
MEDICARE PAYMENTS FOR NURSING-HOME CARE [ Ans: ]
predicated on patient's functional needs and rehabilitative
potential • Gains in function must be carefully documented to
ensure reimbursement for rehabilitative services
, 2
For Expert help and assignment solutions, +254707240657
FACTORS ASSOCIATED WITH NURSING-HOME PLACEMENT [ Ans: ]
• Increasing age
• Low income
• Poor family supports (especially lack of spouse
and children)
• Accepting attitude toward nursing homes
• Cognitive and functional impairment
INTERFACE OF ACUTE AND LONG-TERM CARE [ Ans: ] Suboptimal
information transfer is common: ➢ Missing or illegible transfer
summaries ➢ Omission of prescribed medications ➢ Advance
© 2025 Assignment Expert
directives not documented ➢ Psychosocial issues and behavior
problems not reported**•Current regulatory framework used to
protect residents
THE OMNIBUS BUDGET RECONCILIATION ACT OF 1987 [ Ans: ] Set
Guru01 - Stuvia
training guidelines and minimum staffing requirements for nursing
homes • Bolstered residents' rights: ➢ Limited use of restraints ➢
Limited use of psychoactive medications • Initiated the Minimum
Data Set (MDS) • Required documentation of the need for all
medications, particularly psychoactive agents
MEDICATION ISSUES AND THE 1987 ACT [ Ans: ] Use of specific
banned drugs can result in citation, ➢ In excessive doses ➢ For
excessive periods of time ➢ Without adequate monitoring ➢
Without adequate indications for use ➢ In the presence of
adverse consequences indicating the need for dose reduction or
discontinuation
THE MINIMUM DATA SET (MDS) [ Ans: ] • Periodic comprehensive
clinical assessment of all residents • Addresses >50 domains of
health and function, such as depression, weight loss, cognitive
impairment, and sensory loss • Identification of current or potential
problem triggers review of diagnostic and therapeutic protocols
IMPACT OF MDS [ Ans: ] • National set of quality indicators
based on MDS allows facilities to compare their performance to
