Author Question: Changes in certified nursing facilities in recent years include which of the following? (Select all ... (Read 17 times)

hbsimmons88 · **on:** Jul 11, 2018

Changes in certified nursing facilities in recent years include which of the following? (Select all that apply.)

a. Increase in the number of subacute beds
b. Decrease in nursing facility length of stay
c. Increase in level of acuity of the residents
d. Decrease in cost of care in the nursing fa-cility
e. Decrease in the number of registered nurses employed in long-term care facili-ties

Question 2

Significant factors contributing to the growth of community-based care include: (Select all that apply.)

a. a decrease in the number of available nursing home beds.
b. rapidly escalating health care costs.
c. older adults' preferences to age in place.
d. inadequate numbers of nurses with geron-tological specialty education.
e. decreasing numbers of family caregivers.

djofnc · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B, C
Certified nursing facilities have evolved over recent years. Most facilities have subacute care units that resemble hospital units caring for more patients with higher acuity than in the past. Therefore, the average length of stay in a facility has decreased. The cost of care in the facility has increased due to the increased complexity of illnesses treated, and the number of registered nurses has increased in order to care for these complex patients.

Answer to Question 2

ANS: B, C
Care will continue to move out of hospitals and long-term care facilities because of rapidly esca-lating health care costs and individual preferences to age in place. There has not been a de-crease in nursing home beds. Although there are inadequate numbers of nurses with gerontologi-cal specialty training, this is not a factor that has impacted the growth of community-based care. There is projected to be a decrease in the number of family caregivers as the caregivers them-selves are aging; however, this does not contribute to the growth of community-based care.