A patient who was a resident at an assisted living facility now has an indwelling urinary catheter. The nurse realizes that which of the following will need to be done to help this patient with living needs?
1. Find out if the facility can apply for a special waiver to permit the patient to return to the assisted living facility.
2. Explain to the patient that he cannot return to the assisted living facility and plan to transfer him to a skilled nursing facility.
3. Explain to the patient that he cannot return to the assisted living facility and plan to transfer him to an intermediate care facility.
4. Ask the patient if any family members would be willing to have him live with them because there is no other facility where he can live.
Find out if the facility can apply for a special waiver to permit the patient to return to the assisted living facility.
Rationale: Assisted living facilities cannot typically accommodate individuals who need daily nursing care such as an indwelling urinary catheter unless the facility applies for a special waiver to allow the person to remain in the facility. The nurse should find out if the facility can obtain such a waiver. The nurse should not tell the patient that he needs to live in an intermediate care or skilled nursing care facility. The nurse should also not ask the patient if there are any family members he can live with since there is no other place for him to reside.
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