A gerontological nurse is conducting an in-service program for a group of nurses who work with a wide range of culturally diverse older adults. After teaching the group about the impact of culture on health and illness, the nurse determines that the teaching was successful when the group identifies which reason as underlying the need to understand culture?

A. Calling a local hotel to find an available room for the family: This intervention reflects a family-centered care approach by acknowledging the importance of family involvement and support. By assisting the family in finding nearby accommodations, the nurse recognizes their need to be close to the client and actively supports their presence during the client's care.

B. Apologizing to the client's grandchild that the child is too young to visit: This intervention does not reflect a family-centered care approach. Instead, it may inadvertently discourage family involvement by conveying a message that certain family members are not welcome or accommodated in the care setting.

C. Allowing visitation for 10 minutes every 2 hours: While this intervention allows for visitation, the strict time limit and schedule do not fully reflect a family-centered care approach. Family-centered care typically involves more flexible and individualized visitation policies that accommodate the preferences and needs of both the client and their family members.

D. Including the family in discussions with the health care provider: This intervention exemplifies a family-centered care approach by recognizing the importance of involving the client's family in decision-making and care planning. By including the family in discussions with the health care provider, the nurse ensures that they are informed, engaged, and empowered to participate in decisions about the client's care.

A. "Fortunately, most people over 65 have a sufficient level of income."

This statement might not accurately reflect the reality for many older adults. While some older adults may indeed have sufficient income, there is significant variability in financial resources among older populations. Many older adults face financial challenges due to factors such as retirement savings, pensions, social security benefits, healthcare costs, and economic disparities. Therefore, this statement may not be reflective of the broader population of older adults.

B. "It is reassuring older adults are receiving more concern than in decades past."

While it is positive to recognize increased concern and attention towards the well-being of older adults, this statement does not directly address the trend of increasing admissions of older adults to subacute medical units. Moreover, without specific data or context, it is difficult to assess the accuracy of this statement in relation to current trends in healthcare utilization among older adults.

C. "Most of the older clients on the unit will have come to us from nursing homes."

This statement acknowledges a common trend observed in healthcare, where older adults are increasingly transitioning from nursing homes or long-term care facilities to subacute medical units. This reflects the evolving landscape of healthcare delivery and the need for specialized care for older adults with complex medical needs. Therefore, this statement is most reflective of current thinking about the increasing admissions of older adults to subacute medical units.

D. "It helps that older people do not have to incur any costs for their medical care.”

This statement is inaccurate. While older adults may have access to Medicare, which covers certain medical expenses, it does not cover all costs, and there may still be out-of-pocket expenses, such as copayments, deductibles, and services not covered by Medicare. Additionally, financial barriers can still exist for older adults, especially those with limited income or inadequate insurance coverage. Therefore, this statement does not accurately reflect the financial realities of older adults' healthcare costs.