Deck 26: Care Across the Continuum

Question 1

Residential options for older adults range along a continuum, from remaining in one's own home; to senior retirement communities; to shared housing with family members, friends, or others; to residential care communities such as assisted living settings. Mrs. Chung is moving into a retirement home in her community. How would you describe Mrs. Chung's level of residential living?

A) Partial to complete dependence
B) Independence
C) Independence to partial dependence
D) Complete dependence to end-of-life care

Answer 1

Independence to partial dependence

Question 2

The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report. Which nursing actions are the responsibilities of both the transferring nurse and the receiving nurse?

A) Incorporating patient goals into the care plan
B) Ensuring the patient is stable for transfer
C) Supplying patient documents for planning
D) Providing continuity of care during transfer

Answer 2

Providing continuity of care during transfer

Question 3

The nurse assesses an older adult who was transferred yesterday from an acute care hospital. What should the nurse assess to determine if this individual is under stress from the transfer?

A) The nurse should find out the length of the resident's stay in the acute care facility.
B) The nurse should determine the resident's options and input into relocation.
C) The nurse should question the older adult about the presence of familiar people throughout the transfer.
D) The nurse should determine whether a tour of the new facility was completed shortly after the transfer.

Answer 3

The nurse should determine the resident's options and input into relocation.

Question 4

An older female resident in a residential facility keeps a large collection of personal items and photos of her late husband on her bedside table, but the personal support worker (PSW) and the resident argue about this frequently. Why should the nurse intervene between the resident and the PSW?

A) The resident is attempting to maintain her sense of personal space.
B) The resident needs to accept the reality of her spouse's death.
C) The resident's argumentative nature can indicate early dementia.
D) The clutter from all the personal items is a safety and liability risk.

Question 5

Many long-term care (LTC) homes provide an environment that truly represents the best of caring and quality of life, where there is a focus on person-centred care. Which of the following nursing interventions focuses on person-centred care?

A) Maintain consistent resident assignments.
B) Provide structured activities for the residents.
C) Assign only personal support workers (PSWs) to perform bathing.
D) Determine mealtime based on staffing levels.

Question 6

A family that includes three small children prepares to move an older female parent into their home, knowing that she stays up all night, and the nurse helps the family prepare for this change. Which part of planning should the nurse indicate is the family's highest priority?

A) Sharing household responsibilities
B) Preparing the house for her arrival
C) Helping her use her skills and talents
D) Setting limits on nighttime activities

Question 7

Architects are designing homes for younger adults that allow these individuals to age safely in their homes. What is this type of design called?

A) Aging-in-place
B) Residential care
C) Transgenerational
D) Safe haven homes

Question 8

A resident of a long-term care facility has been asking to have the drain in the bathroom sink repaired for two months. The nurse responds by saying that when they move to the new building, the sinks will work very well. Which right of a resident of a long-term care facility has the nurse violated?

A) The right to be free of all forms of abuse
B) The right to be transferred for appropriate reasons
C) The right to voice concerns or recommend changes in policies and services and have them remedied
D) The right to information about conditions and treatments

Question 9

As the nurse admits an older female adult to a long-term care facility from her home of 50 years, the woman mistakes the nurse for her daughter. Which of the following diagnoses should the nurse consider carefully when planning care for this woman?

A) Hypoxia due to chronic disease
B) Relocation stress syndrome
C) Alzheimer's disease (AD)
D) Attention-seeking behaviour

Question 10

A family is touring selected long-term care homes in preparation for their mother's future. Which qualities of a nursing home should the family include if they decide on a person-centred nursing home?

A) Staff members cover all nursing units.
B) Residents choose stimulating activities.
C) Group activities are scheduled on the hour.
D) There is a hospital environment that assures families of excellent care.

Question 11

Nurses are concerned with assessing the impact of relocation on older adults, and determining methods to mitigate any negative reactions. Which characteristic of relocation stress syndrome in a resident being transferred from acute care to a long-term care facility should the nurse be aware of?

A) Agitation
B) Feelings of loss of control
C) Presence of a caring family
D) Hallucinations