Exam 11: Environments of Care

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?

While conducting a home assessment the nurse identifies safety issues in the patient's bathroom. What did the nurse assess to make this determination?

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.

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.

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?

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?

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

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

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?

An older person 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?

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?

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?

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?

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?

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?