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Answers)
A nurse is teaching a family of an older adult about the role of adult day centers. Which
of the statements by the family member indicates a need for further teaching?
a. "The day center can contribute to an actual improvement in dementia symptoms."
b. "The day center can give me respite."
c. "The day center can be a useful alternative to medical care."
d. "The day center can improve our quality of life." - correct answer C
An 84-year-old client has been living in an assisted living facility for several years but
is now faced with the prospect of relocating to a nursing home. Which of the following
characteristics of the client's current situation is most likely to prompt this move?
a. A change in the level of the client's social support
,b. A decrease in the client's level of function and activities of daily living (ADLs)
c. The development of a severe, acute health problem
d. Exacerbation of a chronic health problem that may require medical treatment -
correct answer B
Active care management is often necessary in order to maintain wellness among older
adults. Which older adult is most likely to require care management?
a. 81-year-old resident of a nursing home whose Alzheimer disease is progressing
rapidly
b. 90-year-old man who lives alone and has no living family members
c. 90-year-old man who has recently been transferred from an assisted living facility
to an acute care setting
d. 77-year-old woman who enjoyed good health until she suffered a severe stroke 3
days earlier - correct answer B
,A gerontological nurse is aware that out-of-pocket expenses for care can be onerous
for many older adults. Which action can the nurse take to potentially minimize these
expenses for clients?
a. Provide care that is primarily focused on acute, rather than chronic, health
problems.
b. Teach older adults to be astute with their spending and saving patterns.
c. Encourage older adults to make care providers aware of each chronic condition they
live with.
d. Become familiar with the various funding sources and their eligibility requirements.
- correct answer D
Admission to long-term care is typically a culmination in a long series of health
problems and functional limitations. Which problem is most likely to precipitate
admission to long-term care?
a. Terminal cancer diagnosis
b. Traumatic Injury
c. Chronic kidney disease
, d. Dementia - correct answer D
A nursing administrator of the long-term care facility starts a quality of life
improvement program for older adults. Which activity should be included in the
program?
a. Emphasize safety and medical care.
b. Decrease the use of pain medications.
c. Divide the residents according cognitive ability.
d. Assess personal choices. - correct answer D
Older adults with complex medical problems are vulnerable to experiencing problems
as they transition between care settings. All of these factors compromise client safety
except one.
a. Client characteristics
b. Ineffective medication reconciliation procedures