The Long-Term Care Licensed Practical Nurse Field Guide

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The Long-Term Care Licensed Practical Nurse Field Guide

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The official study guide for LPN-CLTC certification from NADONA

The role of a licensed practical nurse (LPN) in long-term care is both demanding and rewarding. This guide, a must-have resource for new and seasoned LPNs, will examine the important clinical and management aspects of the LPN practice in long-term care while providing tips and tools for the supervision of nursing assistants. Authors Laura Grey More, MSW, LCSW, and Barbara Acello, MS, RN, point out common medical conditions and high-risk signs and symptoms to guide clinical practice and provide practical strategies for resident care in line with long-term care facility regulations. In addition to providing specific training for long-term care, this book can be used as a study guide for the LPN-CLTC certification offered by the National Association of Directors of Nursing Administration in Long-Term Care (NADONA). The test questions available in this guide have been designed to help you prepare for this certification.

The Long-Term Care Licensed Practical Nurse Field Guide will help you:

  • Understand the role of the LPN in long-term care
  • Identify age-related changes in elders and strategies to improve function and quality of life
  • Recognize high-risk signs and symptoms for prompt action
  • Improve leadership skills for supervision of nursing assistants. Practical tips are given for education, workflow, and personnel issues in supervising nursing assistants
  • Learn practical responses to legal and regulatory issues in long-term care
  • Prepare to become a Certified LPN in LTC (LPN-CLTC)


Test questions after each chapter offer practice for the online LPN-CLTC exam given by the National Association of Directors of Nursing Administration in Long-Term Care (NADONA).

Table of Contents


Chapter 1: The Role of the LPN in Long-Term Care

Chapter 2: The Dermatological System

Chapter 3: The Respiratory System

Chapter 4: The Cardiovascular System

Chapter 5: The Neurological System

Chapter 6: The Gastrointestinal System

Chapter 7: The Musculoskeletal System

Chapter 8: The Genitourinary System

Chapter 9: The Endocrine System

Chapter 10: Legal Issues in Long-Term Care

Chapter 11: Regulatory Aspects of Long-Term Care

Chapter 12: Admission

Chapter 13: Resident Rights

Chapter 14: Incidents and Accidents

Chapter 15: Restraints

Chapter 16: Infections

Chapter 17: Death and Dying

Chapter 18: Medication Management

Chapter 19: Restorative Nursing

Chapter 20: Physician Orders


Common Abbreviations and Acronyms

Become a Certified LPN in Long-Term Care


Downloads of additional content are available online. These include valuable resources and references for the LPN/LVN in long-term care, including assertive communication, antipsychotic medication, performance evaluations, vital signs pointing to an acute change in condition, and many others. 

About the Author

Laura Grey More, MSW, LCSW, is a healthcare author and licensed clinical social worker. More was one of the founding partners of Care2Learn, a provider of online continuing education courses for the postacute healthcare industry. She now provides healthcare authoring services, primarily in geriatrics. She has authored or edited over 120 online continuing education titles, coauthored evidence-based care assessment resources, and published home health nursing assistant in-services. She is the recipient of the 2010 Education Award from the American College of Health Care Administrators.

Barbara Acello, MS, RN, is an independent nurse consultant and educator in Denton, Texas. She is a member of the Texas Nurses’ Association, NANDA International, and the American College of Healthcare Administrators, where she was honored with the Educator of the Year Award for 2007 and the Journalism Award for 2009. Acello has worked as a director of nursing, administrator, and long-term care facility consultant and educator; she has held numerous corporate-level positions in eight states. Presently, she is involved with freelance consulting, lecturing, and writing. She has written many textbooks, journal articles, and other materials related to acute and long-term care nursing, as well as nursing assistant practice and education. Although she has worked in acute care, emergency room, and EMS, long-term care is her preferred practice setting. She is committed to improving working conditions, education, and professionalism for nurses and nursing assistants in long-term care facilities.

Published: December 2013