An older patient says that she cannot go home until she can walk independently because she might get "kicked out" of the apartment. The nurse realizes this patient is describing which type of living facility?
1. A skilled nursing care facility
2. Residential living facility
3. Assisted living facility
4. Adult day care
3
Rationale 1: A skilled nursing care facility provides care for a short period to allow recovery from an acute illness or injury after a hospitalization. Many patients in a skilled nursing facility are nonambulatory.
Rationale 2: In a residential living facility, also termed a "board and care" facility, care is provided by unlicensed personnel, and services such as meals, social activities, housekeeping, laundry, and limited transportation are provided.
Rationale 3: Assisted living facilities are licensed as residential care facilities. Most require individuals to be ambulatory, use a walker, or be able to propel their wheelchairs to a common dining area. These facilities cannot accommodate individuals who are bedbound.
Rationale 4: Adult day care focuses on socialization among elderly people. It is not provided in the patient's home.
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An agitated, confused client with hepatic encephalopathy has just received a dose of lactulose (Chronulac). The nurse determines this medication has been effective if the client:
1. Becomes more alert and cooperative. 2. Has one formed stool per day. 3. Is able to breathe better. 4. Asks for less pain medication.
A nurse is reviewing the medical records of several older adult patients who have come to the clinic for evaluation. The nurse would classify a patient of which age as being in the middle-old stage?
A) 66-year-old adult B) 70-year-old adult C) 78-year-old adult D) 86-year-old adult
The federal agency of the public health system that is most involved with the health and welfare of U.S. citizens is
1. Centers for Medicaid and Medicare Services 2. Department of Health and Human Services 3. Public Health Service 4. Secretary for Health
A client asks a nurse why a large dose of a drug was administered first followed by a lower dose of the same drug later. What is the nurse's best response?
A. Prevent a toxic concentration of the drug B. Achieve a therapeutic dose more quickly C. Decrease the side effects of this drug D. Increase the absorption rate of this drug