Understanding Healthcare Settings (Chapter 1)

Another name for a long-term care facility is: (A) Extended care facility (B) Home health care facility (C) Assisted living facility (D) Adult day services facility

(A) Extended care facility

Home health aides (A) May clean or shop for groceries (B) Have no contact with the client's family and/or friends (C) Do not have any supervision (D) Are not allowed to provide personal care

(A) May clean or shop for groceries

In general, residents who stay at a facility for more than six months (A) Need 24-hour care (B) Have caregivers available to them in the community (C) Are suffering from a terminal illness (D) Are likely to return to live in the community

(A) Need 24-hour care

More than half of residents in long-term care facilities are (A) Younger than 50 years old (B) Female (C) Male (D) Developmentally disabled children

(B) Female

Assisted living facilities are initially for (A) People who need 24-hour, intensive care (B) People who need some help with daily care (C) People who will die within six months (D) People who need acute care

(B) People who need some help with daily care

Most conditions in long-term care are chronic. This means that (A) The conditions require immediate treatment at a hospital (B) The conditions last a long time (C) The conditions last a short time (D) The conditions will usually cause death within three months

(B) The conditions last a long time

Which of the following statements is true of adult day services? (A) This type of care is for people who need to live in the facility where care is provided (B) This type of care is for people who need some assistance and supervision during certain hours (C) Most people who need adult day services are seriously ill or disabled (D) Many types of surgery are performed at adult day services centers

(B) This type of care is for people who need some assistance and supervision during certain hours

Care given by specialist to restore or improve function after an illness or injury is called (A) Acute care (B) Subacute care (C) Rehabilitation (D) Hospice care

(C) Rehabilitation

What is the most important thing for nursing assistant to know about the residents in her care? (A) Whether or not residents have family close by (B) How long residents have been in the facility (C) That each resident is an individual with his own abilities and needs (D) When residents normally have visitors

(C) That each resident is an individual with his own abilities and needs

Which of the following statements is true of the Joint Commission? (A) Long-term care facilities are required by federal law to participate in the Joint Commission's surveys (B) State surveys are the same as the Joint Commission's survey (C) The goal of the Joint Commission's survey process is to improve safety and quality care (D) The Joint Commission makes decisions relating to Medicaid eligibility

(C) The goal of the Joint Commission's survey process is to improve safety and quality care

What is the purpose of surveys in long-term care facilities? (A) To count the number of residents (B) To refine the care-planning process (C) To study how well residents are cared for (D) To help the facility decide appropriate visiting hours

(C) To study how well residents are cared for

Care given to people who have approximately six months or less to live is called (A) Acute care (B) Subacute care (C) Rehabilitative care (D) Hospice care

(D) Hospice care

People who live in long-term care facilities are usually called _____ because it is where they live for the duration of their stay (A) Patients (B) Healthcare providers (C) Regulators (D) Residents

(D) Residents

If a surveyor asks a nursing assistant a question and the NA does not know the answer, what would be her best response? (A) The NA should try to guess the correct answer (B) The NA should offer information on another topic (C) The NA should try to tell the surveyor what she thinks he wants to hear (D) The NA should admit that she does not know and should find out the answer.

(D) The NA should admit that she does not know and should find out the answer.

List two groups of people who qualify for Medicare.

1. People aged 65 and older 2. People of any age with permanent kidney failure or other disabilities

Acute care

24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short term, immediate care for illnesses or injuries

PPOs (preferred provider organizations)

A network of providers that contract to provide health services to a group of people

Payers

Are people or organizations paying for healthcare services

Subacute care

Care given in a hospital or long-term care facility, used for people who need less care than for an acute illness but more care than for a chronic illness

Managed care

Cost-control strategies for health care

(T/F) It is all right to do tasks not listed in the job description if they are very simple

False

(T/F) Nonprofit organizations cannot own long-term care facilities

False

HMOs (health maintenance organizations)

Health plans that state that customers must use a particular doctor or group of doctors

List the four parts of Medicare and what each helps pay for.

Part A: Pays for the hospital or skilled nursing facility or for care from a home health agency or hospice Part B: Pays for doctor services and medical services and equipment Part C: Allows Private health insurance companies to provide Medicare benefits Part D: Pays for medications prescribed for treatment

Payers

People or organizations paying for health-care services

Providers

People or organizations that provide health care, including doctors, nurses, clinics and agencies

Providers

People or organizations that provide healthcare, doctors, nurses, clinics, and agencies

Facilities

Places where care is delivered or administered, including hospitals, long-term care facilities and treatment centers

Facilities

Places where health care is delivered or administered, hospitals, long-term care facilities and treatment centers

Why is it important for nursing assistants to care for each resident as a whole person instead of treating only his or her disorders and disabilities?

Some residents have very little outside support from family or friends

(T/F) A policy is a course of action to be followed. For example, all healthcare information must remain confidential.

True

(T/F) Changes in residents should be reported to the nurse

True

(T/F) Each step in a written procedure is important and must be strictly followed

True

(T/F) Facilities that offer specialized care must have specially trained employees

True

(T/F) Facilities will have procedures for reporting information about residents

True

(T/F) Long-term care facilities may offer assisted living, subacute care, or specialized care

True

ADLs

activities of daily living

Joint Commission

an independent not-for-profit organization that evaluates and accredits healthcare organizations . its goal is to promote safety and quality of care given

Rehabilitation

care given by specialists

managed care

cost control strategies

policy

course of action that should be taken every time a certain situation occurs

assisted living

facilities are residents for people who need some help with daily care, such as showers, meals, and dressing. Do not need 24 hour care

cite

find a problem through a survey

Adult day services

for people who need some assistance and supervision during certain hours, but who do not live in the facilities where care is provided

Outpatient care

given for less than 24 hours for people who have had treatments or surgery and need short-term skilled care

Hospice care

given in facilities or homes for people who have less than 6 months to live

Longterm Care (LTC)

given in longterm care facilities for people who need 24-hour skilled care

terminal illness

illness will eventually cause death

How is eligibility for Medicaid determined?

income and special circumstances

Skilled care

is medically-necessary care given by a skilled nurse or therapist, it is available 24 hours a day

diagnoses

medical conditions determined by a doctor or physician

procedure

method or way of doing something

Preferred provider organization (PPOs)

network of providers that contract to provide health services to a group of people

length of stay

number of days a person stays in healthcare facility

HMOs (health maintenance organizations)

require that participants use a particular doctor or group of doctors except in case of emergency

Dementia

serious loss of mental abilities

catheter

thin tubes inserted into the body to drain fluids or inject fluids

Home health care

type of care given to people who are older and are chronically ill but who are able to and wish to remain at home