A 76-year-old client with a diagnosis of Alzheimer's disease lives with an adult child. The child expresses struggling with the burden of providing for the client's increasing level of care. The nurse, who has been working with the client and family, has suggested adult day care as an option to be considered. When describing this setting, which information would the nurse include?

A central focus of adult day care is providing respite for caregivers.

Older adults can go to a single location for their medical care.

Clients, primarily with severe illnesses, typically qualify for this care

The main goal of adult day care is to provide protection for older adults at risk.

Answer and Explanation

The Correct Answer is A

A. A central focus of adult day care is providing respite for caregivers:

Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.

B. Older adults can go to a single location for their medical care:

While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.

C. Clients, primarily with severe illnesses, typically qualify for this care:

Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.

D. The main goal of adult day care is to provide protection for older adults at risk:

While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.

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Correct Answer is B

Explanation

A. Arrange a family meeting to organize supervision for the client:

This option focuses on organizing supervision for the client, assuming that the client requires constant monitoring to prevent falls. While involving family members in the care plan is important, arranging a family meeting might not be the priority until the nurse understands the client's perspective on the falls and explores potential solutions.

B. Elicit what the client perceives to be the causes of and potential solutions to the falls:

This option prioritizes communication with the client to understand their perspective on the falls, including what factors they believe contributed to the falls and what solutions they envision. It respects the client's autonomy and allows them to actively participate in their care planning, which can lead to more effective fall prevention strategies.

C. Investigate what community resources may be appropriate and available:

While community resources can be valuable for supporting older adults, investigating them may not be the priority until the nurse has assessed the client's specific needs and preferences regarding fall prevention. Understanding the client's perspective and potential solutions should come first to tailor the use of community resources accordingly.

D. Perform a comprehensive musculoskeletal assessment of the client:

While assessing musculoskeletal status is important for understanding factors that could contribute to falls, conducting a comprehensive assessment may not be the immediate priority. Instead, focusing on communication with the client to understand their perspective and potential solutions should come first to inform the assessment and subsequent interventions effectively.

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer. B. Refusing to backdate the paperwork because to do so would be considered untruthful. C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company. D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy.

Correct Answer is B

Explanation

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer: This option prioritizes the client's well-being and demonstrates veracity by ensuring that the client receives necessary care. However, backdating the paperwork may still be considered unethical or fraudulent.

B. Refusing to backdate the paperwork because to do so would be considered untruthful: This option aligns with veracity by adhering to truthfulness and honesty. It acknowledges the ethical implications of backdating paperwork, even if it could benefit the client.

C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company: While refusing to backdate the paperwork may uphold honesty, it places the interests of the insurance company above those of the client, which may not align with ethical nursing practice.

D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy: This option prioritizes the client's well-being and demonstrates veracity by ensuring the client receives necessary care. However, it still involves an unethical action of backdating paperwork, which may have legal and professional consequences.

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Naxlex Comprehensive Predictor Exams

An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?

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A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

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A nurse working at a long-term care facility encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. The nurse encourages this activity to promote which effect? (Select All that Apply.)

A nurse is providing care to several clients. The nurse reviews each client's diagnostic and assessment findings. Which result would warrant the nurse to investigate further?

A gerontological nurse is reviewing a journal article about legal issues and nursing practice. The nurse identifies which situation as a matter of public law?