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Homework answers / question archive / Brightwood College - NURSING GERONTOLOG Chapter 06: Gerontological Nursing Across the Continuum of Care MULTIPLE CHOICE 1)An older female resident in the residential facility keeps a large collection of personal items and photographs of her late husband on her bedside table, but the nursing assistant and resident frequently argue about this

Brightwood College - NURSING GERONTOLOG Chapter 06: Gerontological Nursing Across the Continuum of Care MULTIPLE CHOICE 1)An older female resident in the residential facility keeps a large collection of personal items and photographs of her late husband on her bedside table, but the nursing assistant and resident frequently argue about this

Nursing

Brightwood College - NURSING GERONTOLOG

Chapter 06: Gerontological Nursing Across the Continuum of Care

MULTIPLE CHOICE

1)An older female resident in the residential facility keeps a large collection of personal items and photographs of her late husband on her bedside table, but the nursing assistant and resident frequently argue about this. Why should the nurse intervene between the resident and the nursing assistant?

  1. The resident is attempting to maintain her sense of personal space.
  2. The resident needs to accept the reality of her spouse’s death.
  3. The resident’s argumentative nature can indicate early dementia.
  4. Clutter from all the personal items is a safety and liability risk.

 2. Which statement is true about living arrangements for older adults?

  1. Older adults are more independent in their own homes than in a residential community.
  2. The increase in real estate values makes home ownership essential to security.
  3. The Program for All-Inclusive Care for the Elderly (PACE) is a community alternative to nursing home care for frail older adults.
  4. Florida is an example of a naturally occurring retirement community (NORC).
  1. Which statement is true about residential living for older adults?
      1. A residential care facility is the new term for a nursing home.
      2. An assisted living facility (ALF) must have a registered nurse (RN) on staff.
      3. Administrators are realizing that their duty is to care for the residents as people.
      4. A “granny flat” is an apartment in a high-rise building reserved for seniors.

 

 

  1. A resident of a long-term care facility has been asking to have the drain in the bathroom sink repaired for 2 months. The nurse responds by saying that when they move to the new building, the sinks will work very well. Which right of a resident of a long-term care facility has the nurse violated? a. Right to be free of all forms of abuse
    1. Right to be transferred for appropriate reasons
    2. Right to voice grievances and have them remedied
    3. Right to information about conditions and treatments

 

  1. A nursing home is converting to a person-centered culture from an institution-centered culture. Which nursing intervention will be suitable in the new culture?
    1. Maintain consistent resident assignments.
    2. Provide structured activities for the residents.
    3. Assign nursing assistants to perform bathing.
    4. Determine mealtime on the basis of staffing levels.

 

  1. The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report. Which nursing actions are the responsibilities of both the transferring nurse and the receiving nurse? a. Incorporating patient goals into the plan
    1. Ensuring the patient is stable for transfer
    2. Supplying patient documents for planning
    3. Providing continuity of care during the transfer

 

  1. A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge?
    1. Medication reconciliation
    2. Providing a list of community resources
    3. Contacting a durable medical equipment facility
    4. Educating the client on appropriate range-of-motion exercises
  2. An older couple who lives in their own home is considering relocating to a continuing care retirement community (CCRC). The wife is independent in activities of daily living and volunteers at a homeless shelter twice a week. The husband recently had a stroke and is undergoing rehabilitation in a long-term care facility. One benefit of a CCRC for this couple is
    1. for married couples in which one spouse needs more care than the other, a CCRC allows them to live nearby in different parts of the same community.
    2. a CCRC provides high-quality care at a lower cost than other programs.
    3. a CCRC provides social and health services to adults who need supervised care in a safe setting during the day.
    4. a CCRC is more cost effective than a nursing home and provides care in a homelike environment.
  3. A nurse in an assisted living facility (ALF) evaluates the application for admission of an elderly woman. The woman is 87 years old, needs assistance with bathing and dressing, and is unable to prepare her own meals or do her own housekeeping. The nurse compares this applicant with the typical residents of an ALF and concludes which of the following?
    1. This woman is not a typical resident of an ALF and is better suited to a long-term care facility.
    2. This woman matches the profile of a typical resident in an ALF.
    3. This woman is not a typical resident of an ALF and is better suited for an adult day care program.
    4. This woman is not a typical resident of an ALF and is better suited for a Program for All-Inclusive Care for the Elderly (PACE) Program.
  4. A nurse is considering employment in an assisted living facility (ALF). The nurse understands that which of the following are true about nursing in an ALF?
      1. A registered nurse (RN) is required to supervise residents 24 hours per day in an ALF in all states in the United States.
      2. Not all states require an RN in ALFs; however, many do employ RNs.
      3. An RN is not required to supervise residents in all states in the United States, however, a licensed practice nurse (LPN) is required.
      4. An RN is required to supervise residents 12 hours per day in an ALF in all states in the United States.
  5. An older patient is being discharged from the hospital to a subacute unit. The patient says to a nurse, “I am not sure I understand the difference between a subacute unit and a nursing home. Can you help me understand?” The nurse considers which of the following in formulating a response? a. Subacute care and nursing home care are identical.
      1. Subacute care is more intensive than traditional nursing home care.
      2. Subacute care is reimbursed by either Medicaid or private pay.
      3. Professional nursing staff levels are the same as those in traditional nursing home settings.

MULTIPLE RESPONSE

1. A family is touring selected nursing homes in preparation for their mother’s future. Which qualities of a nursing home should the family include if they decide on a person-centered nursing home?  a. Staff members cover all nursing units.

      1. Residents and families have a council.
      2. Residents choose stimulating activities.
      3. Staff members respond to residents’ needs.
      4. Group activities are scheduled on the hour.
      5. Staff members help residents stay well-groomed.
  1. An elder-friendly community includes components that
    1. address basic needs.
    2. optimize physical health.
    3. provide financial assistance.
    4. maximize independence.
    5. provide social engagement.
  2. Which home modification interventions are designed to enhance the ability of older adults to remain in their homes?
    1. A 36-inch-wide doorway
    2. Entryways with less than two steps
    3. Electrical outlets at chest level
    4. A bathroom on the first floor
  3. An older patient’s daughter asks a nurse the following: “I have heard about PACE [Program for All-Inclusive Care for the Elderly] programs and think that one might be a good option for my father. Can you tell me more about what the qualifications to be part of a PACE program are?” The nurse includes which of the following in her response to the family member?
    1. PACE programs provide services to individuals who meet the criteria for nursing home admission.
    2. PACE programs only provide service to individuals who are age 55 years and over.
    3. Participants in PACE programs must be eligible for either Medicare or Medicaid.
    4. Participants in PACE programs must be able to perform their own activities of daily living (ADLs) independently.
    5. Participants in PACE programs must have been residents in a nursing home before enrollment in the PACE program.
  4. Which of the following are true about long-term care?
      1. The number of older adults needing long-term care services is expected to increase exponentially in the next 25 years.
      2. Most long-term care is paid for by Medicare.
      3. Long-term care is the most cost effective manner in which to care for older adults.
      4. Most individuals in the United States have purchased long-term care insurance.
      5. Costs of long-term care have outpaced inflation since 2003.
  5. A nurse is educating the family of an older patient about long-term care. The nurse understands that goals of long-term care include which of the following?
      1. To preserve individual autonomy
      2. To provide the most cost effective care possible
      3. To prevent readmission to the acute care setting
      4. To restore and maintain the highest level of independence
      5. To create a homelike environment that respects individual dignity

 

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