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Title: Which of the following is not a level of consciousness? Post by: rickysizzle on Mar 7, 2018 Which of the following is not a level of consciousness?
a. Lethargic b. Alert c. Oriented d. Comatose Question 2 Freda LaRue, 78 years old, is distressed over the high maintenance costs of her large home. What would be a living alternative for Mrs. LaRue? a. Retirement center b. Intermediate nursing facility c. Skilled nursing facility d. Senior center Question 3 Asking a resident the day, month, and year is a test of a. Short-term memory b. Long-term memory c. Memory recall d. Orientation Question 4 Measurable goals in long-term care are measured a. Every 30 or 90 days b. Weekly c. Bimonthly d. Yearly Question 5 Lila Jacobs is 80 years old and lives at home with her husband. She has Alzheimer's disease with increasing confusion and urinary incontinence. Mr. Jacobs has had a cerebrovascular accident and can no longer care for her in their home. What referral would you make for Mrs. Jacobs? a. Retirement center b. Intermediate nursing facility c. Skilled nursing facility d. Hospitalization Question 6 Asking a resident to repeat three items after the nurse is a test of a. Memory encoding b. Memory recall c. Short-term memory d. Memory retention Title: Which of the following is not a level of consciousness? Post by: christianbklyn1 on Mar 7, 2018 A Lethargy is a description of mood or behavior. Responses B, C, and D all are measurements of level of consciousness. A A retirement center is a supportive living environment. Residents maintain their independence but are free of maintenance worries, can receive housekeeping services, and can even choose to have meals prepared in a central dining room. Intermediate and skilled nursing facilities (responses B and C) would require that Mrs. LaRue have a functional need, not simply the inability to maintain her home financially. The senior center (response D) is an inappropriate referral. Senior centers are activity centers, not living alternatives. D Orientation to time is tested by asking the date. This is not a test for short-term memory (response A), long-term memory (response B), or memory recall (response C). A Omnibus Reconciliation Act (OBRA) guidelines mandate 30-day review after recent admission and quarterly (90-day) interdisciplinary team review. These time frames provide measurable time markers for goals. Responses B, C, and D are choices for measurable time frames but usually are not used because of the lack of framework for reviews at these intervals. C Because of Mrs. Jacobs' increasing confusion and incontinence, a skilled nursing facility would be the most appropriate placement. Hospitalization (response D) is inappropriate because Mrs. Jacobs is not experiencing a life-threatening process that needs intensive medical evaluation and treatment. A retirement center (response A) and an intermediate care facility (response B) would not provide enough supervision for Mrs. Jacobs. A Memory encoding involves the ability to mimic or repeat stated information immediately after receiving the information. Recall (response B), short-term memory (response C), and memory retention (response D) all require that a longer time pass and that the information be internalized. |