Deck 11: Environments of Care

Question 1

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?
1) The time the patient goes to sleep at night
2) Asking someone to take the patient's toy poodle
3) The location of the pharmacy that the patient uses
4) When the patient expects the mail to be delivered each day

Answer 1

2

Question 2

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.
1) Delivery person rang the doorbell
2) Paid caregiver was doing the laundry
3) Daughter was visiting with the patient
4) Neighbor came over to bring a pot of soup
5) Friend telephoned to ask for the best time to visit

Answer 2

2, 3, 4, 5

Question 3

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?
1) Respite care
2) Senior center
3) Hospitalization
4) Home health nursing

Answer 3

1

Question 4

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?
1) Senior center
2) Nursing facility
3) Assisted-living facility
4) Skilled nursing facility

Question 5

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?
1) Hospice
2) Transpersonal caring
3) Micromanaging the client
4) Environmental management

Question 6

While conducting a home assessment the nurse identifies safety issues in the patient's bathroom. What did the nurse assess to make this determination?
1) Grab bars in the shower
2) Grab bars around the commode
3) Throw rug absent from the floor
4) Cord for electric shaver crossing over the sink

Question 7

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?
1) Wake the patient up for breakfast at 8:00 a.m.
2) Stop the delivery of a breakfast tray for this patient.
3) Have the breakfast tray delivered with the lunch tray.
4) Place the breakfast tray aside to be warmed up when the patient wakes up.

Question 8

The nurse notes that an older patient smokes. What would be imperative for this patient to have in the home?
1) Functioning smoke alarms
2) Electric cooking appliances
3) Water in every room of the house
4) Telephone number for the fire department

Question 9

An older patient is diagnosed with relocation stress syndrome. Which is a symptom of this disorder?
1) Attending all available activities in the facility
2) Refusing to take a tub bath and washing at the sink in the room
3) Exhibiting increased confusion and wandering behavior at night
4) Watching television and visiting with other residents in the day room

Question 10

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.
1) Agitation
2) Acting out
3) Poor appetite
4) Hallucinations
5) Disorientation

Question 11

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?
1) Nothing. The patient will adjust in time.
2) Transport the patient to the recreation room.
3) Have the staff introduce themselves one at a time.
4) Encourage placement of personal items to be easily viewed.

Question 12

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?
1) Lack of community lounge
2) Garden with benches and chairs
3) Recreation room with a television and magazines
4) Residents visiting in the common areas on each floor

Question 13

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?
1) Meals on Wheels
2) Menus of restaurants that deliver
3) Telephone numbers of grocery stores that deliver
4) Names of caregivers willing to come into the home and cook for the person

Question 14

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?
1) Dress the patient in personal clothing.
2) Place the patient's toilet articles in the bathroom.
3) Keep the patient's slippers on the floor next to the bed.
4) Ask family to bring in a favorite picture to place on the bedside table.

Question 15

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?
1) Bathtub with shower
2) Absence of throw rugs
3) Oversized door openings
4) Handicapped-accessible commode