The nurse assesses a resident who was transferred yesterday from an acute care hospital. Which should the nurse assess to determine if this individual is under stress from the transfer?
a. Length of the resident's stay in acute care facility
b. Availability of disposition options pretransfer
c. Presence of familiar people throughout the transfer
d. Tour of new facility completed shortly after transfer
B
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A Incorrect. The length of stay in the acute care facility is an unreliable index of stress in a resident who was relocated recently.
B Correct. To help assess the resident for stress, the nurse reviews the sequence of events that led to the relocation including if the resident had relocation options and what those options were before relocation. If the resident played an active role in the choice of facilities and had several available options, the resident is likely to experience less stress upon relocation.
C Incorrect. The presence of familiar people is an unreliable predictor of relocation stress.
D Incorrect. Touring the new facility is an unreliable predictor of relocation stress; if the tour is conducted too soon or when the resident is in pain, tired, or dis-tracted, the resident is unlikely to benefit from the tour.
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