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The nurse explains to a patient that shopping, using a phone, and administering his own medications are classified as activities of daily living.
- A. instrumental
Correct Answer: instrumental
Rationale: IADLs are more complex skills than ADLs and indicate a higher level of independent functioning.
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The family caring for an older adult in their home feels that they need assistance from a hospice service. What is necessary for hospice service to be initiated?
- A. A family request
- B. A patient request
- C. Medical certification
- D. A referral by a hospice nurse
Correct Answer: C
Rationale: Hospice agencies provide care at the end of life. Medical certification is required for terminal care.
The nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing the older adult in a long-term care facility?
- A. 1/4
- B. 1/3
- C. 1/2
- D. 2/3
Correct Answer: C
Rationale: It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility.
What is the correct term for people who live in long-term care facilities?
- A. Patients, because they will be receiving acute care.
- B. Residents, because the facility has become their home.
- C. Patients, because they seek professional medical services.
- D. Customers, because they are purchasing care service.
Correct Answer: B
Rationale: The older adult in a long-term care facility is referred to as a resident to reinforce the homelike environment.
A daughter is assessing a nursing home before placing her mother there for what she feels will be a long-term stay. Which of the following are important aspects of quality to consider when selecting a nursing home?
- A. Privacy is respected.
- B. Staff members are task-focused.
- C. The staff welcomes family visits.
- D. There is a homelike environment.
- E. Rooms are maintained like a hospital.
Correct Answer: A,C,D
Rationale: It is important that privacy is respected, family members are welcomed, and a homelike environment is maintained. Staff members should be resident-focused, not task-focused. Rooms should be maintained like a home instead of like a hospital.
What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?
- A. Admittance is limited to people who are relatively unimpaired.
- B. A contract is usually a lifetime commitment.
- C. A contract is an acceptable tax shelter.
- D. Contracts can be signed on a month-to-month basis.
Correct Answer: B
Rationale: CCRCs offer a complete range of health care services, from independent living to 24-hour skilled nursing. In most cases, signing a contract with a CCRC is a lifetime commitment.