Chapter 11 Environments of Care
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Questions and Answers

After admitting an older resident to a retirement community, the nurse assisted with transitioning to the new home, arranged Meals on Wheels, provided a list of local physicians, and made arrangements for the community Welcome Wagon to make a visit. What type of care did the nurse perform?

  • Hospice
  • Transpersonal caring (correct)
  • Micromanaging the client
  • Environmental management
  • The nurse is visiting an assisted living center with an older person who is considering relocating to the facility. Which observation should the nurse question as being desirable for this person?

  • Lack of community lounge (correct)
  • Garden with benches and chairs
  • Recreation room with a television and magazines
  • Residents visiting in the common areas on each floor
  • The nurse determines that one apartment in an assisted living facility would not be appropriate for a person who relies on a wheelchair. What did the nurse observe to make this determination?

  • Bathtub with shower (correct)
  • Absence of throw rugs
  • Oversized door openings
  • Handicapped-accessible commode
  • While conducting a home assessment the nurse identifies safety issues in the patient's bathroom. What did the nurse assess to make this determination?

    <p>Cord for electric shaver crossing over the sink</p> Signup and view all the answers

    The nurse notes that an older patient smokes. What would be imperative for this patient to have in the home?

    <p>Functioning smoke alarms</p> Signup and view all the answers

    An older patient is hospitalized with a broken hip after falling in the home. What should the nurse discuss as a priority when making a home visit?

    <p>Asking someone to take the patient's toy poodle</p> Signup and view all the answers

    An older person who used to who used to work until midnight does not go to sleep until 3:00 a.m. and likes to stay in bed until 11:00 a.m. The facility that the patient lives in provides breakfast at 8:00 a.m. What should the nurse do to ensure that this patient's nutritional needs are being met?

    <p>Place the breakfast tray aside to be warmed up when the patient wakes up</p> Signup and view all the answers

    An older patient is being admitted to an extended care facility for several weeks for extensive wound care and hemodialysis. What should be done to personalize this patient's living area during this time?

    <p>Ask family to bring in a favorite picture to place on the bedside table</p> Signup and view all the answers

    A spouse is the primary caregiver for an 80-year-old ill patient. The spouse does not want to place the patient in a nursing facility but is experiencing extreme exhaustion. What should the nurse recommend to the spouse?

    <p>Respite care</p> Signup and view all the answers

    A 78-year-old patient is distressed over the high maintenance costs of a large home. What should be recommended as a living alternative for the patient?

    <p>Assisted-living facility</p> Signup and view all the answers

    The nurse notices that an older participant in adult day services asks for leftover food to take home every day. What should the nurse suggest as assistance for this participant?

    <p>Meals on Wheels</p> Signup and view all the answers

    An older patient is diagnosed with relocation stress syndrome. Which is a symptom of this disorder?

    <p>Exhibiting increased confusion and wandering behavior at night</p> Signup and view all the answers

    An older patient needing hemodialysis three times a week and extensive wound care is unable to be cared for at home by family members. The patient agrees to be admitted to a skilled nursing facility but refuses to talk with any of the staff or family members who come to visit. What should be done to assist this patient?

    <p>Encourage placement of personal items to be easily viewed</p> Signup and view all the answers

    While visiting the home of an older patient who recently became widowed the nurse determines that the patient has a strong support system. What occurred that caused the nurse to make this determination? Select all that apply.

    <p>Paid caregiver was doing the laundry</p> Signup and view all the answers

    The nurse is concerned that a new resident of a nursing facility is experiencing relocation stress syndrome. What behavior did the nurse observe to make this clinical determination? Select all that apply

    <p>Agitation</p> Signup and view all the answers

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