Author Question: The adult child of a long-term care facility resident receives a phone call from the director of ... (Read 81 times)

vinney12 · **on:** Jul 11, 2018

The adult child of a long-term care facility resident receives a phone call from the director of nursing stating that her parent has 30 days to move out of the home

Under what conditions can a facility require a resident to move? (Select all that apply.)
a. Nonpayment for services received
b. Needs exceeding what the facility can provide
c. Stay is no longer required based on the resident's medical condition
d. Facility is going out of business
e. Frequent disruptive behavior during the night

Question 2

The nurse admitting a debilitated patient to a long-term care facility initially assesses the patient using the Katz Index. The student asks why the nurse chose that tool. What answer by the nurse is best?

a. It is quick and simple for a baseline.
b. The Katz Index is mandated by Medicare.
c. It is comprehensive in nature.
d. It shows functioning in 12 areas.

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

Answer to Question 1

A, B, C, D
A facility can require a resident to leave in four situations: nonpayment for services, needs that exceed what the facility can provide, the patient's medical condition no longer warrants long-term care, or the facility is going out of business. Being disruptive is not a cause for expel-ling a resident.

Answer to Question 2

A
The Katz Index takes only about 5 minutes to complete and rates patients as to whether they are totally independent or dependent in six basic functions. For the debilitated patient who will tire easily, this is the best choice. It is not mandated by Medicare, it is not as comprehensive as other tools, and it only shows functioning in 6 areas.