Exam 20: Relationships,Roles,and Transitions

An 82-year-old widow with Alzheimer's disease is being cared for at home by her daughter.Twice a week,the widow goes to an adult day care program.This is an example of:

A 99-year-old resident of a long-term care facility came to the facility 12 years ago after the death of her husband of 56 years.She has no children or other relatives.She has a very close relationship with one of the nurse aides and refers to the aide as her daughter.The nurse aide is an example of:

A married couple lives in a retirement community.The husband is 76 and the wife is 73.When she attends her Tai Chi class,she shares the following with the nurse: "I expected to enjoy retirement with my husband.These were supposed to be our golden years.I am so stressed out.All I do is spend my time taking care of him; he has so many things wrong with him." The nurse bases her response on the understanding that:

Select the true statement regarding grandparenthood.

A 68-year-old accountant is planning for retirement.He talks about volunteering in an animal shelter after he retires because he loves animals.What action would be most helpful in assisting him in adjusting to this new role?

An 88-year-old resident of a long-term care facility relates that she used to be the family member who arranged family reunions.Although she was never married and had no children,her room is full of pictures of nieces and nephews and grandnieces and grandnephews,and she can tell you about all of the individuals in the pictures.You could describe the resident as:

An 89-year-old Chinese patient had a cerebrovascular accident that left him totally dependent in activities of daily living.He subsequently had a percutaneous enteral gastrostomy (PEG)tube placed for feeding.He is ready to be discharged from the acute care setting,and the family is expressing that they want to take him home and care for him.The following are important for the nurse to assess when evaluating the family support system except:

A 78-year-old woman is a resident of a nursing home.Her daughter visits daily and records everything that the staff does for her mother in a notebook that she carries with her.She visits the director of nursing weekly to discuss omissions in care.She states that her role is to "protect her mother from harm." Her mother's recent laboratory values demonstrate that she is dehydrated.The nurse meets with the resident's daughter and explains dehydration and asks that the daughter assist the resident to drink 8 ounces of fluid every 2 hours and to document it on an intake and output form.This is an example of:

Lesbian,gay,bisexual,and transgender older adult couples face additional challenges as they age.All are challenges frequently encountered except:

Your client is cared for at home by his son and daughter-in-law,who are also responsible for the care of their four preschool-aged children.What is true of this "sandwich" generation?