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Sorrentino: Mosby’s Essentials for Nursing Assistants, 3rd Edition
Instructor’s Resource Manual
Chapter 1: Introduction to Health Care Agencies
Instructor’s Preparation
Read Chapter 1 in the textbook.
Review chapter objectives, key terms, and review questions for Chapter 1 in the textbook.
Read the outline and classroom activities in Chapter 1 of this Instructor’s Resource Manual.
Review the student assignment and the quiz in Chapter 1 of this Instructor’s Resource
Manual.
V.
Review the PowerPoint slides for Chapter 1.
VI.
Review the Electronic Images for Chapter 1.
VII.
If you are using the accompanying
Student Workbook, review the activities for Chapter 1.
VIII.
Review the “Patient and Resident Rights” section of the “Basic Principles” video
(Sorrentino: Mosby’s Nursing Assistant Skills Videos).
IX.
Collect all necessary supplies and equipment for the classroom activities and student
assignments.
A. Collect PowerPoint slides.
B. Prepare the correct number of handouts.
C. Prepare appropriate flip charts.
D. Prepare overhead transparency.
E. Prepare index cards.
F. Collect correct video.
G. Collect correct TA.
H. Collect colored markers.
I. Collect any other items that will be needed for classroom activities.
J. Assemble items in the order they will be used.
X.
Make sure that the necessary equipment is available and in good working order.
XI.
Confirm all plans for each field trip.
A. Contact the hospital and nursing center to confirm location, day, date, and time.
B. Prepare an index card for each student with the location day, date, and time of each field
trip. Include special instructions (e.g., dress code, where to park).
I.
II.
III.
IV.
Objectives
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Instructor’s Resource Manual
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Define the key terms listed in this chapter
Describe hospitals and long-term care centers
Describe the persons cared for in long-term care centers
Identify members of the nursing team and the health team
Describe four nursing care patterns
Describe programs that pay for health care
Describe the Omnibus Budget Reconciliation Act of 1987
Explain resident’s rights and patient’s rights
Key Terms
assisted living facility
board and care home
health team
hospice
licensed practical nurse (LPN)
licensed vocational nurse (LVN)
nursing assistant
nursing center
nursing facility (NF)
nursing home
nursing team
Omnibus Budget Reconciliation Act of 1987 (OBRA)
registered nurse (RN)
residential care facility
skilled nursing facility (SNF)
subacute care
Outline and Classroom Activities
I. INTRODUCTION
A. Hospitals and long-term care centers provide health care services.
1. The person is the focus of care.
II. HOSPITALS
 Ask students to discuss any personal experience with hospital care.
o Discuss both positive and negative experiences.
 Arrange a field trip for students to tour a hospital. Ask them to answer the following
questions about the hospital:
o What services were provided?
o Was staff helpful?
o What feelings did they have about the hospital?
 Collect marketing brochures from health care agencies in your community. Distribute
these to students. Ask them to answer the following questions:
o What information is provided about care and services?
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Instructor’s Resource Manual
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o
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Is the information easy to understand?
Is the information presented in a logical manner?
Is the information complete?
What questions are raised?
A. Hospitals provide:
1. Emergency care, surgery, nursing care, x-ray procedures and treatments, and
laboratory testing
2. Respiratory, physical, occupational, and speech therapies
B. People of all ages need hospital care.

Call on students to define and give an example of acute illness, chronic illness, and
terminal illness.
o Allow time for questions and discussion.
C. Persons can have acute, terminal, or chronic illnesses.
1. Acute illness begins suddenly.
a. The person will likely recover.
2. Chronic illness is ongoing.
a. It often begins slowly and has no cure.
b. The illness can be controlled and complications prevented.
3. Terminal illness ends in death.
D. Hospital stays can last:
1. Less than 24 hours
2. Days, weeks, or months
E. Patient’s rights
1. In April 2003, The American Hospital Association adopted The Patient Care
Partnership: Understanding Expectations, Rights, and Responsibilities.
a. The person’s rights and expectations during hospital stays include:
(1) High-quality care
(2) A clean and safe setting
(3) Being involved in care
(4) Having privacy protected
(5) Being prepared to leave the hospital
(6) Help understanding the hospital bill and filing insurance claims
III. LONG-TERM CARE CENTERS
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Arrange a field trip for students to visit a nursing center. Ask them to answer the
following questions about the center:
What were the physical abilities of the persons in the center?
What services were provided?
o Who was providing the services?
o Were residents actively involved? Did they appear happy and well cared for?
o Was staff helpful?
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o What feelings did they have about the center?
 After the field trip, ask students to share their answers with the class.
 Allow time for discussion.
Write the following terms on the chalk board or flip chart. Call on students to write the
type of care and services provided by each type of long-term care center.
o Board and care home
o Assisted living facility
o Nursing center
 Skilled nursing facility
 Hospice
 Alzheimer’s unit
A. Long-term care centers are designed to meet the needs of persons who cannot care for
themselves but do not need hospital care.
1. Medical, nursing, dietary, recreational, rehabilitative, and social services are
provided.
B. Persons in long-term care centers are residents.
1. The center is their permanent or temporary home.
C. Residents may be:
1. Older persons with chronic diseases, poor nutrition, or poor health
2. Persons disabled from birth defects, accidents, or diseases
3. People discharged from hospitals while still recovering from illness or surgery
a. Some residents return home when well enough.
b. Others need nursing care until death.
D. Long-term care centers meet the needs of:

Write each of the following terms on a separate index card.
o Alert, oriented residents
o Confused and disoriented residents
o Complete care residents
o Short-term residents
o Life-long residents
o Mentally ill residents
o Terminally ill residents
 Divide students into small groups. Ask each group to pick a card. Allow 5
minutes for students to discuss and describe the type of resident written on the
card they picked.
 Allow time for questions and discussion.
1. Alert, oriented residents
a. They have physical problems.
b. Disability level affects the amount of care required.
2. Confused and disoriented residents
a. They are mildly to severely confused and disoriented.
3. Complete care residents
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a. Some persons are disabled, confused, and disoriented.
(1) They cannot meet their own needs or tell you what they need.
4. Short-term residents
a. Some persons need to recover from fractures, illnesses, or surgery.
b. Some people cared for at home are admitted to nursing centers for short stays.
(1) This is respite care.
5. Life-long residents
a. Birth defects and childhood injuries and diseases can cause disabilities.
b. A disability occurring before 22 years of age is a developmental disability.
(1) It may be a physical impairment, intellectual impairment, or both.
(2) The person has limited function in at least three of these areas: self-care,
understanding or expressing language, learning, mobility, self-direction,
independent living, and financial support of one’s self.
(3) The person needs lifelong assistance, support, and special services.
6. Mentally ill residents
a. Some people have problems coping or adjusting to stress.
(1) Behavior and function are affected.
b. Some residents have physical and mental illnesses.
7. Terminally ill residents
a. Some are alert and oriented; others are comatose.
(1) Comatose persons cannot respond to what people say to them.
(a) They may still feel pain.
b. Terminally ill persons may need hospice care.
(1) See p.  in the textbook.
E. Board and care homes (residential care facilities)
1. Board and care homes provide a room, meals, laundry, and supervision.
a. Each person has a room.
b. They share common areas and eat meals together.
2. A safe setting is provided but not 24-hour nursing care.
3. Homes are for older persons or for people with certain problems.
F. Assisted living facilities
1. An assisted living facility provides housing, support services, and health care to
persons needing help with daily activities.
a. Many residents are cognitively impaired.
(1) They have problems with thinking, reasoning, and judgment.
b. Mobility is often required.
(1) The person must be able to leave the building in an emergency.
c. Stable health also is required.
d. A home-like setting is provided.
e. Residents have:
(1) A secure setting and 24-hour supervision
(2) Three meals a day
(3) Laundry, housekeeping, and transportation services
(4) Social and recreational services
(5) Some health services
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f. Services are added or reduced as the person’s needs change.
2. Assisted living facilities are:
a. Part of nursing centers or retirement communities
b. Separate facilities
3. Assisted living facilities must follow state laws and regulations.
G. Nursing centers (nursing facilities, nursing homes)
4. A nursing center provides health care services to residents who need regular or
continuous care.
a. Licensed nurses are required.
b. Medical, nursing, dietary, recreational, rehabilitative, and social services are
provided.
2. Some centers also provide complex care for severe health problems.
a. Such centers are called skilled nursing facilities (SNFs).
(1) They are part of nursing centers or hospitals (skilled nursing units).
b. Many people are admitted to SNFs from hospitals.
3. Some nursing centers and hospitals provide subacute care.
a. Subacute care is complex medical care or rehabilitation for persons who no
longer need hospital care.
b. Persons on subacute care units may be called patients.
4. Hospices
a. A hospice is an agency or program for persons who are dying.
(1) The focus is on comfort, not cure.
b. Hospice care is provided by hospitals, nursing centers, and home care
agencies.
5. Alzheimer’s units (dementia care units)
a. An Alzheimer’s unit is designed for persons with Alzheimer’s disease and
other dementias (Chapter 25).
(1) Such persons suffer increasing memory loss and confusion until they
cannot tend to simple personal needs.
b. The unit usually is closed off from the rest of the center.
(1) This provides a safe setting where residents can wander freely.
IV. HOSPITAL AND NURSING CENTER ORGANIZATION
A. A hospital has a governing body called the board of trustees.
1. The board makes policies.
2. An administrator manages the hospital and reports to the board.
3. Directors or department heads manage certain areas.
B. Nursing centers
1. Usually are owned by:
a. An individual
b. A corporation
c. County health departments
2. Each center has an administrator.
3. Department directors report to the administrator.
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Instructor’s Resource Manual
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Refer students to Figure 1-1 on p. 4 in the textbook (Electronic Image 1).
Display TA 1
Distribute copies of several health care agency organizational charts.
o
Discuss reporting responsibilities and problem solving in relation to the
organizational chart.
o
Divide students into groups of 3 or 4. Provide each group with one of the following
situations written on an index card. (You may develop other situations as
necessary.)
 Situation 1: You discover two nurses discussing an error they made on a drug
given to a patient.
 Situation 2: You see the secretary in the doctor’s office take money from the cash
box and put it in her purse.
 Situation 3: You are not getting enough hours to maintain your budget.
 Situation 4: You disagree with your performance evaluation.
 Situation 5: You are concerned because a patient told you that one of your coworkers was unkind.
o Display an overhead transparency showing a hospital or nursing center
organizational chart. Or draw it on a flip chart.
o Allow students 10 minutes to discuss how they would handle the situation on their
index card using the organizational chart as a guide.
o Call on a spokesperson from each group to describe the situation on their index card
and discuss how to handle the situation.
o Allow time for discussion after each presentation.
o Discuss how the organizational structure guides communication among health-team
members.
C. Hospitals and nursing centers must follow local, state, and federal laws and rules.
1. Safe care must be provided.
D. Nursing service
1. The director of nursing (DON) is an RN.
a. The DON is responsible for the entire nursing staff and the care given.
2. Nurse managers (usually RNs) assist the DON.
a. Nurse managers oversee a work shift, a nursing area, or a certain function.
(1) Functions include staff development, restorative nursing, infection control, or
continuous quality improvement.
3. Each nursing area has RNs.
a. They provide nursing care and supervise LPNs/LVNs and nursing assistants.
b. Staff RNs report to the nurse manager.
4. LPNs/LVNs report to staff RNs or to the nurse manager.
5. You report to the RN or LPN/LVN supervising your work.
6. Nursing education staff:
a. Plan and present educational programs
b. Provide new and changing information
c. Instruct on the use of new equipment
d. Teach and train nursing assistants
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e. Conduct orientation programs for new staff
V. THE NURSING TEAM
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Call on students to describe the roles and responsibilities of these members of the
nursing team: RNs, LPNs/LVNs, and nursing assistants. Ask the following questions:
o What is the difference in education?
o What are the licensure requirements?
o What are the responsibilities of each?
 Allow time for discussion.
A. The nursing team involves RNs, LPNs/LVNs, and nursing assistants.
1. All focus on the physical, social, emotional, and spiritual needs of the person and
family.
B. Registered nurses
1. A registered nurse (RN) has completed a 2-, 3-, or 4-year nursing program and has
passed a licensing test.
2. RNs must have a license recognized by the state in which they work.
3. RNs do the following:
a. Assess, make nursing diagnoses, plan, implement, and evaluate nursing care
(Chapter 4).
b. Develop care plans, provide care, and delegate nursing care and tasks to the
nursing team.
c. Evaluate how care plans and nursing care affect each person.
d. Teach persons how to improve or maintain health.
e. Teach the family.
f. Carry out the doctor’s orders.
g. Delegate to LPNs/LVNs or nursing assistants.
4. RNs do not:
a. Diagnose diseases or illnesses
b. Prescribe treatments or drugs
5. Clinical nurse specialists or nurse practitioners (RNs with special education and
training) have diagnosing and prescribing functions.
C. Licensed practical nurses and licensed vocational nurses
1. A licensed practical nurse (LPN) has completed a 1-year nursing program and has
passed a licensing test.
a. They are called licensed vocational nurses (LVNs) in some states.
2. Hospitals, community colleges, vocational schools, and technical schools offer
programs.
3. Like RNs, practical or vocational nurses must have a license to work.
4. LPNs/LVNs are supervised by RNs, licensed doctors, and licensed dentists.
a. LPNs/LVNs have fewer responsibilities than RNs do.
b. They need little supervision when the person’s condition is stable and care is
simple.
c. They assist RNs in caring for acutely ill persons and with complex procedures.
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D. Nursing assistants
1. Nursing assistants give basic nursing care under the supervision of a licensed
nurse.
2. Nurse’s aide, nursing attendant, and health care assistant are other titles.
3. To work in nursing centers, nursing assistants must have formal training and pass
a competency evaluation (Chapter 2).
VI. NURSING CARE PATTERNS
A. The nursing care pattern depends on how many persons need care, the staff, and the cost.
 Write the following terms on the chalk board:
o Functional nursing
o Team nursing
o Primary nursing
o Case management
 Call on students to define each term.
 Write correct answers after each term.
1. Functional nursing focuses on tasks and jobs.
a. Each nursing team member has certain tasks and jobs to do.
2. Team nursing involves a team of nursing staff led by an RN.
a. The team leader delegates care to other nurses.
(1) Delegation is based on the person’s needs and team members’ abilities.
b. Team members report to the team leader about observations made and the care
given.
3. Primary nursing involves total care.
a. An RN is responsible for the person’s total care.
(1) The nursing team assists as needed.
4. Case management is like primary nursing.
a. A case manager (an RN) coordinates a person’s care from admission through
discharge and into the home setting.
B. The health team
 Write the title of each of the health team members listed in Box 1-1 on p. 6 in the
textbook on a separate index card.
o Ask each student to pick an index card.
o Ask each student to describe the role of the team member written on his or her
index card.
o Discuss how the team works together to provide quality care.
1. The health team involves staff members who work together to provide health care.
a. Called the interdisciplinary health care team in nursing centers
2. Their skills and knowledge focus on the person’s total care.
a. See Box 1-1 on p. 6 in the textbook.
3. The goal is to provide quality care for the person.
4. An RN usually coordinates the person’s care.
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VII. PAYING FOR HEALTH CARE
A. Health care is costly.
1. If the person has insurance, some care costs are covered.
B. Health care is a major focus of society.
1. The goals are to provide health care to everyone and to reduce care costs.
 Write each of the following terms related to paying for health care on the chalkboard or
a separate sheet on a flip chart.
o Private insurance
o Group insurance
o Medicare
o Medicaid
o Prospective payment systems
o Managed care
 Ask students to provide the following information about each payment system:
 How is the system paid for?
 What populations are covered?
 What services are covered?
 Are there any restrictions on coverage? Explain.
 Ask students to discuss any personal experience they have had with any of the health
care payment systems.
C. You need to know the following:
1. Private insurance is bought by individuals and families.
a. It pays for some or all health care costs.
2. Group insurance is bought by groups for individuals.
3. Medicare is a federal health insurance program.
a. It is for:
(1) Persons 65 years of age or older
(2) Some younger people with certain disabilities
b. Medicare has two parts.
(1) Part A pays for some hospital, SNF, hospice, and home care costs.
(2) Part B helps pay for doctors’ services, outpatient hospital care, physical and
occupational therapists, some home care, and many other services.
(a) It is voluntary.
(b) The person pays a monthly premium.
4. Medicaid is a health care payment program sponsored by federal and state
governments.
a. Benefits, rules, and eligibility requirements vary from state to state.
(1) Older, blind, and disabled people; and families with low incomes are usually
eligible.
b. There is no insurance premium.
c. The amount paid for each covered service is limited.
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D. Prospective payment systems limit the amounts paid by insurers, Medicare, and
Medicaid.
1. The amount paid for services is determined before the person enters a health care
agency.
a. Diagnosis-related groups (DRGs) help reduce Medicare and Medicaid costs.
b. Resource utilization groups (RUGs) are for SNF payments.
c. Case mix groups (CMGs) are used to pay rehabilitation centers.
E. Managed care deals with health care delivery and payment.
1. See Box 1-2 on p. 6 in the textbook.

Review the contents of Box 1-2 on p. 6 in the textbook with students.
o Allow time for questions and discussion.
2. Insurers contract with doctors and hospitals for reduced rates or discounts.
3. The insured person:
a. Uses doctors and agencies providing the lower rates
b. Pays for costs not covered by insurance
4. Managed care limits:
a. The choice of where to go for health care
b. The care that doctors provide
5. Many states require managed care for Medicaid and Medicare coverage.
VIII. THE OMNIBUS BUDGET RECONCILIATION ACT OF 1987 (OBRA)
A. OBRA applies to all 50 states.
1. Nursing centers must provide care in a manner and setting that maintains or improves
each person’s quality of life, health, and safety.
2. Nursing assistant training and competency evaluation are other requirements (Chapter
2).
3. Resident rights are a major part of OBRA.
B. Resident rights
 Show the “Patient and resident rights” section of the “Basic Principles” video
(Sorrentino: Mosby’s Nursing Assistant Skills Videos).
o Allow time for questions and discussion.
1. Residents have rights:
a. As U.S. citizens
b. Relating to their everyday lives and nursing center care
2. Nursing centers:
a. Must protect and promote their rights
b. Cannot interfere with their rights
3. If a resident is not competent (not able), a spouse, adult child, or legal representative
exercises the person’s rights for him or her.
4. Nursing centers must inform residents of their rights:
a. Orally and in writing before or during admission to the center
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b. In the language the person uses and understands
(1) Interpreters are used as needed.
5. Information
a. The person has the right to all of his or her records.
(1) Record requests can be oral or written.
b. The person has the right to:
(1) Be fully informed of his or her total health condition
(2) Information about his or her doctor
(a) Name, specialty, and how to contact the doctor
c. You do not give this information to the person or family.
(1) Report the request to the nurse.
6. Refusing treatment
a. If a person does not give consent or refuses treatment, it cannot be given.
(1) The center must find out what the person is refusing and why.
b. Tell the nurse if a person refuses care measures.
(1) Care plan changes may be needed.
7. Privacy and confidentiality
a. The person has the right to personal privacy.
b. The person’s body is exposed only as needed.
(1) Only staff involved in the person’s care are present for care measures.
(2) Consent is needed for others to be present.
b. Residents have the right to visit where others cannot see or hear them.
(1) If requested, the center must provide private space.
c. The right to privacy also involves mail and phone calls.
(1) No one can interfere with the person sending or getting mail.
(2) Consent is needed to open any of the person’s mail.
d. The following information is kept confidential:
(1) Information about the person’s care, treatment, and condition
(2) Medical and financial records
8. Personal choice
a. Residents help plan and decide about their care and treatment.
b. Residents can choose:
(1) Their doctors
(2) Activities, schedules, and care
(3) Friends and visitors inside and outside the center
b. Allow personal choice whenever safely possible.
9. Disputes and grievances
a. The person has the right to voice concerns, questions, and complaints about care.
(1) The center must promptly try to correct the matter.
b. No one can punish the person in any way for voicing the dispute or grievance.
10. Work
a. The person does not work for care, care items, or other things or privileges.
b. The person can work or perform services:
(1) If he or she wants to
(2) For rehabilitation or activity reasons
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b. The desire or need for work is part of the person’s care plan.
11. Taking part in resident and family groups
a. The person has the right to form and take part in resident and family groups.
b. Families can meet with other families.
c. Residents have the right to:
(1) Take part in social, cultural, religious, and community events
(2) Help in getting to and from events of their choice
12. Care and security of personal possessions
a. The person has the right to keep and use personal items.
(1) Treat such items with care and respect.
b. The center must:
(1) Protect the person’s property
(a) Items are labeled with the person’s name.
(2) Investigate reports of lost, stolen, or damaged items
c. Protect yourself and the center from being accused of stealing a person’s property.
(1) Do not go through a person’s things or space without the person’s consent.
(2) If a nurse asks you to inspect closets and drawers, have a co-worker with you
and the person or legal representative.
13. Freedom from abuse, mistreatment, and neglect
a. This includes:
(1) Verbal, sexual, physical, mental, or financial abuse (Chapter 2)
(2) Involuntary seclusion
(a) Separating a person from others against his or her will
(b) Keeping the person confined to a certain area
(c) Keeping the person away from his or her room without consent
b. No one can abuse, neglect, or mistreat a resident.
c. Centers must investigate suspected or reported cases of abuse.
d. Centers cannot employ persons who were convicted of abusing, neglecting, or
mistreating others.
14. Freedom from restraint
a. The person has the right not to have body movements restricted.
(1) Restraints and certain drugs can restrict body movements (Chapter 9).
b. Sometimes residents are restrained to protect them from harming themselves or
others.
(1) A doctor’s order is needed.
c. Restraints are not used for staff convenience or to discipline a person.
15. Quality of life.
a. Residents must be cared for in a manner that promotes:
(1) Dignity and self-esteem
(2) Physical, psychological, and mental well-being
b. See Box 1-3 on p. 9 in the textbook for OBRA-required actions that promote
dignity and privacy.

Review the content of Box 1-3 on p. 9 in the textbook with students.
o Allow time for questions and discussion
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c. Activities.
(1) Nursing centers provide activity programs that:
(a) Allow personal choice
(b) Promote physical, intellectual, social, spiritual, and emotional well-being
(2) You need to:
(a) Assist residents to and from activity programs.
(b) Help with activities as needed.
d. Environment
(1) The center’s environment must:
(a) Promote quality of life
(b) Be clean, safe, and as home-like as possible
Homework Assignment
Ask students to answer the questions at the end of Chapter 1 in the textbook. Tell them the date
and time this assignment must be completed and turned in.
If the accompanying Student Workbook is being used, assign the Chapter 1 workbook exercises.
Tell students the date and time this assignment must be completed and turned in.
Chapter 1 Student Assignment
Name: _________________________________
Date: __________________________________
Introduction to Health Care Agencies
Matching
Match each term with the correct definition.
1. ______ Assesses, plans, and implements recreational needs
2. ______ Assists nurses in giving bedside nursing care; must be supervised by a licensed
nurse
3. ______ Provides nursing care and gives drugs under the direction of an RN
4. ______ Works with the health team to plan and provide care; does physical exams, health
assessments, and health education
5. ______ Maintains medical records
6. ______ Assists persons to learn or retain skills needed to perform activities of daily living;
designs adaptive equipment for activities of daily living
7. ______ Takes x-rays and processes film for viewing
8. ______ Assesses, makes nursing diagnoses, plans, implements, and evaluates nursing
care; supervises LPNs/LVNs and nursing assistants
9. ______ Gives respiratory treatments and therapies
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10. ______ Performs laboratory tests
11. ______ Evaluates speech and language; treats persons with speech, voice, hearing,
communication, and swallowing disorders
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
Occupational therapist (OT)
Activities director
Assistive personnel (nursing assistant)
Registered nurse (RN)
Medical records and health information technician
Speech-language pathologist
Nurse practitioner
Medical technologist (MT)
Radiographer/radiologic technologist
Respiratory therapist
Licensed practical/vocational nurse (LPN/LVN)
Fill in the Blanks
12. The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities, is a
document that explains the persons rights and expectations during hospital stays. They
include:
A. __________________________________________________________________.
B. __________________________________________________________________.
C. __________________________________________________________________.
D. __________________________________________________________________.
E. __________________________________________________________________.
F. __________________________________________________________________.
13. Describe the following types of residents cared for in long-term care centers:
A. Alert, oriented residents _____________________________________________.
B. Complete care residents _____________________________________________.
C. Terminally ill residents ______________________________________________.
14. The focus of hospice care is _____________________________________________
____________________________________________________________________.
15. The nursing team involves ______________________________________________
___________________________________________________________________.
16. The health team is called the _____________________________________________
_____________________________________________________ in nursing centers.
17. Diagnosis-related groups (DRGs) help reduce ______________________________
_______________________________________________________________ costs.
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Instructor’s Resource Manual
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18. Mr. Reese is a nursing center resident. He asks you if he can look at his medical record. What
should you do?
___________________________________________________________________.
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Instructor’s Resource Manual
Chapter 1 Quiz
Name:
_________________________________
Date: _________________________________
Introduction to Health Care Agencies
True or False
Mark T for true or F for false.
1. ________
2. ________
3. ________
4. ________
5. ________
Primary nursing is a nursing care pattern focusing on tasks and jobs.
Some hospital stays are for less than 24 hours.
A disability occurring before age 22 is a developmental disability.
Long-term care centers only provide care to older persons with disabilities.
The nursing team is managed by the doctor.
Multiple Choice
Circle the BEST answer.
6. An assisted living facility provides all of the following except
A. Housing
B. Personal care
C. Social activities
D. 24-hour skilled nursing care
7. A health care agency or program for persons who are dying is:
A. Case management
B. Hospice
C. Managed care
D. A preferred provider organization
8. Individuals who give basic nursing care under the supervision of licensed nurses are:
A. Licensed practical nurses
B. Case managers
C. Assistive personnel
D. The health care team
9. The goal of the health team is to:
A. Provide quality care
B. Make money
C. Provide case management
D. Assign tasks and responsibilities
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Instructor’s Resource Manual
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10. This nursing care pattern focuses on tasks and jobs.
A. Functional nursing
B. Team nursing
C. Primary nursing
D. Case management
11. Mrs. Jewel lives at Oakwood Nursing Center. She refuses to take a tub bath. Which is false?
A. She has the right to refuse.
B. She will be asked to leave the center.
C. The center must find out why she is refusing to take a tub bath.
D. Care plan changes may be needed.
12. Nursing center residents have the right to all of the following except:
A. To voice concerns about care
B. To visit in private
C. To receive information about a roommates’ care and treatment
D. To choose their own doctor
13. A federal health insurance plan providing benefits for older persons and some younger
persons with disabilities is:
A. Medicaid
B. Medicare
C. Private insurance
D. A diagnostic related group
14. Which action does not provide courteous and dignified care:
A. Grooming hair as the person wishes
B. Letting the person choose what to wear
C. Throwing away the person’s old letters and notes
D. Helping the person keep his or her nails trimmed and clean
15. You promote quality of life by:
A. Doing everything for the person
B. Delegating tasks to co-workers
C. Speaking to the person in a polite way
D. Making sure the person attends at least two activities each day
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