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