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. Full disclosure deters malpractice suits and negligence claims: While full disclosure of medical options and information is important for ethical and legal reasons, the primary purpose is not solely to deter malpractice suits or negligence claims. Full disclosure is a fundamental aspect of patient-centered care and respects the patient's right to autonomy and informed decision-making.

B. Empowerment has a positive effect on health status: This choice is correct. Empowerment involves providing individuals with the knowledge, skills, and resources they need to make informed decisions about their health. Research has shown that empowering patients to participate actively in their healthcare decisions leads to better health outcomes and overall well-being.

C. The activity theory of aging requires maintenance of lifestyle: The activity theory of aging suggests that older adults should remain active and engaged in activities to maintain a sense of fulfillment and well-being. While staying active is important for healthy aging, it is not directly related to the concept of providing information to older adult clients to empower them in decision-making.

D. Information is an effective strategy for stress management: While providing information and education can certainly help individuals manage stress by promoting a sense of control and understanding, this choice does not directly address the concept of empowering older adult clients to make informed decisions about their care.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

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Naxlex Comprehensive Predictor Exams

A nurse explains all medical options to older adult clients to ensure they have the information they need to make informed decisions about their care. The nurse implements these actions based on which concept?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

A 90-year-old client is admitted to a hospital medical unit with a high population of older adults. The nurse notes that the client has been talking about death frequently. Which response by the nurse would be appropriate?

An 85-year-old client has been admitted to the hospital with exacerbation of chronic obstructive pulmonary disease (COPD). The family has expressed concern about their ability to pay for present and future care. Which guidance will the nurse provide?

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?