National Association of Boards of Long Term Care Administrator (NAB) CORE Practice Exam

What is one of the main features of the culture change movement in long-term care?

1. A focus on medically-oriented care

2. Increased autonomy for residents

3. Standardized living conditions

4. More structured schedules for residents

The correct answer is: Increased autonomy for residents

The culture change movement in long-term care emphasizes the importance of enhancing the quality of life for residents by promoting their autonomy. This approach recognizes that residents have individual preferences, needs, and desires that should be respected and prioritized in their daily lives. By increasing autonomy, residents can make choices about their daily routines, meals, and social activities, which fosters a sense of control and personal agency. This shift moves away from a more institutionalized and medicalized model of care, instead focusing on personalized and resident-centered approaches that contribute positively to the overall environment of care. In contrast, options like a focus on medically-oriented care, standardized living conditions, and more structured schedules for residents do not align with the fundamental principles of the culture change movement. Those alternatives typically reflect a more traditional, regimented approach to care that can limit individual expression and the ability to make choices, which the culture change movement actively seeks to overcome.