The nurse is caring for an older client who was admitted for partial-thickness burns to the hands and arms following a kitchen accident. The client says she is afraid to return home for fear something else will happen. The nurse recommends:
1. A skilled nursing home.
2. An assisted-living center.
3. Moving in with a family member.
4. Hospice care.
2
Rationale: Assisted-living centers range from rooms in a long-term care facility to small independent apartments with a common cafeteria and nursing care to assist with meeting ADLs, and would be most appropriate for this client. The family's willingness to have this client move in, and proximity, are unknown. Hospice care is indicated for the client with a life expectancy of six months or less, which does not apply to this client. There are no indications that skilled care is needed.
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