A patient adamantly refuses to go to a nursing home. The nurse asks if the patient would be willing to live in a place that has a doctor's office and other health care providers as well as a place for all residents to congregate and socialize
This nurse is describing which of the following housing options? 1. PACE program
2. Green House project
3. Elder cohousing
4. Team-based primary care in the home
PACE program
Rationale: The Program of All-inclusive Care for the Elderly (PACE) is based on the British day hospital model of care. PACE programs provide preventive, primary, acute, and long-term services for their enrolled members all under one roof. With a nursing focus, PACE programs include the medical component of care, working from a clinic that is open 5 or 6 days a week, where participants receive care from a clinic provider. These services are offered along with an adult day care program, where participants gather for socialization, recreation, and nursing care. The Green House project describes a group of suburban homes used to house the elderly; meals are served at a community dining table. Elder cohousing is similar to a townhouse or condominium community where all residents enjoy living and doing things together. Team-based primary care in the home is an approach where the patient stays at home and receives health care provider care when needed. The goal is to reduce unnecessary and costly hospitalizations.
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A nurse is volunteering at a local retirement community. She is attempting to organize a walking program. A resident asks, "Why should I exercise at my age?" What is the best response by the nurse?
A) "Exercise has not been shown have any benefits for people over 80." B) "Exercise can help reduce the negative effects of stress, which can impact your physical health." C) "Exercise can help increase your blood pressure." D) "You aren't too old to exercise."
The nurse completes triceps skinfold measurement on a client newly admitted to the long-term care facility. In order to obtain the most meaningful data, how soon should the nurse repeat this measurement?
A) 10 days to 2 weeks B) 1 year C) 1 month D) 2 days
The patient develops a pleural effusion, so a chest tube is inserted. The nurse detects crepitus at the insertion site. Which conclusion by the nurse is most appropriate?
1) Consolidation of the lung tissue 2) Pleural thickening 3) Air leakage into subcutaneous tissue 4) Obstructed airway
The school nurse wants to use a PowerPoint presentation to educate adolescents on sexually transmitted diseases. This method of presentation relates to which aspect of communication?
a. Supplement b. Style c. Structure d. Strategy