Chapter 3 Care Across the Continuum

Chapter 3  Care Across the Continuum

Complete Chapter Questions And Answers
 

Sample Questions

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?
a.
Resident is attempting to maintain her sense of personal space.
b.
Resident needs to accept the reality of her spouse’s death.
c.
Resident’s argumentative nature can indicate early dementia.
d.
Clutter from all the personal items is a safety and liability risk.

ANS: A
A thoughtful nurse respects and supports the resident’s boundaries. Even if the resident needed to accept the reality of her spouse’s death, the resident’s grief process and personal space should be respected. Although the resident’s argumentative nature can indicate early dementia, the resident’s behavior can also be understood as a healthy defense of personal space. Although the rationale of the nurse assistant is probably that the clutter from all the personal items is a safety and liability risk, the assistant should realize that this resident is entitled to the personal use of her personal space.

PTS: 1 DIF: Apply REF: 12 TOP: Nursing Process: Evaluation
MSC: Psychosocial Integrity

2. Which statement is true about living arrangements for older adults?
a.
Older adults are more independent in their own homes than in a residential community.
b.
The increase in real estate values makes home ownership essential to security.
c.
Program for All-Inclusive Care for the Elderly (PACE) is a community alternative to nursing home care for frail older adults.
d.
Florida is an example of a naturally occurring retirement community (NORC).

ANS: C
PACE is an alternative to nursing home care for frail older people who want to live independently in the community with a high quality of life. Although relief from the burden of home maintenance can free a person for more independent living, this statement can or cannot be accurate, depending on the real estate market at the time. In addition, taxes and maintenance costs have also risen. A NORC is an organization formed by older adults living at home in geographic proximity to each other to provide supportive services for each other.

PTS: 1 DIF: Understand REF: 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment

3. As the nurse admits an older woman to a long-term care facility from her home of 50 years, she mistakes the nurse for her daughter. Which diagnosis does the nurse use to plan care for this woman?
a.
Hypoxia as a result of chronic disease
b.
Relocation stress syndrome
c.
Alzheimer disease (AD)
d.
Attention-seeking behavior

ANS: B
Relocation, especially if sudden, causes stress that may lead to altered mental status. Many conditions other than hypoxia can cause altered mental status, including relocation stress. Many conditions other than AD can cause altered mental status, including relocation stress. The nurse has no confirmatory evidence to regard the older woman’s error as something other than a mistake; in addition, it can be understood as relocation stress syndrome.

PTS: 1 DIF: Apply REF: 16 TOP: Nursing Process: Diagnosis
MSC: Safe, Effective Care Environment

4. Which statement is true about residential living for older adults?
a.
A residential care facility is the new term for a nursing home.
b.
An assisted living facility (ALF) must have an registered nurse (RN) on staff.
c.
Administrators are realizing that their duty is to care for the residents as people.
d.
A “granny flat” is an apartment in a high-rise building reserved for seniors.

ANS: C
The movement is under way from an institution-centered culture to a person-centered one. A residential care facility houses older adults who cannot live independently but do not need the round-the-clock, complex care capabilities of a nursing home. In most states, ALFs are not required to provide skilled nursing. A “granny flat” is the term used in Australia for a small, prefabricated housing unit where an older adult can live separately from, but close to, family on family property.

PTS: 1 DIF: Understand REF: 12-13
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment