Which option(s) reflect a scenario that violates the Nursing Home Reform Act of 1987? Choose all that are correct.
1. The resident falls during a physical therapy session, despite being attended by two staff members.
2. The nursing assistant is overheard telling a resident, If you don't eat, I won't take you down to play dominoes this afternoon.
3. The nursing staff routinely leave doors open when getting residents up to bedside commodes.
4. If a resident attempts to get out of bed, a soft vest restraint is applied.
5. The patient is not consulted prior to a change in medical treatment.
How does the need to assess resident/patient changes and potential problems differ between the long-term care facility and an acute care facility?
1. They are the same.
2. There is a need for greater assessment skills in acute care because patients are so sick.
3. There is a need for greater assessment skills in long-term care because of the lack of direct physician contact with residents.
4. There is a lesser need for good assessment in long-term care because the residents are old and just waiting to die.
How has the decreased use of restraints affected fall rates in long-term care facilities?
1. It has not changed.
2. It has increased, but injuries have not.
3. It has decreased.
4. Both fall rates and injury rates have increased.
The resident of a long-term care facility is unable to ambulate without maximal assistance. The patient is restless and frequently attempts to get out of bed. What is the appropriate nursing action?
1. Use four-point restraints to prevent the resident from getting up alone.
2. Use sedation to keep the resident from attempting to get up.
3. Move the resident to a room near the nursing station for closer observation.
4. Inform the family that they need to hire a sitter to keep the resident safe.
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