An older adult client requiring total care resides with family members, specifically two daughters who take shifts providing care around the clock. During a home visit, the daughters ask the nurse about resources available for client care while they attend a scheduled family reunion. What is the best information for the nurse to provide?
Suggest social services be contacted to find a respite care facility for the client.
Tell the caregivers to consider hiring a private duty nurse during the time away.
Propose the family seek assistance for care in the area of the reunion's location.
Advise to have a case management evaluation of the client's home environment.
The Correct Answer is A
Choice A reason: Respite care is specifically designed to provide temporary relief for primary caregivers, especially in situations where they need to be away for planned events. Social services can facilitate access to licensed facilities that offer short-term care, ensuring continuity, safety, and appropriate medical oversight for the dependent older adult. This option is both practical and aligned with community-based support systems.
Choice B reason: Hiring a private duty nurse may be feasible but is often cost-prohibitive and lacks the structured oversight of a licensed facility. It also requires vetting and coordination that may not be feasible on short notice. While it is a viable alternative, it is not the most universally accessible or comprehensive solution.
Choice C reason: Seeking assistance near the reunion location introduces logistical challenges, including transportation of a dependent adult, unfamiliar care environments, and potential disruption of medical routines. This option may increase risk and complexity without guaranteeing appropriate care.
Choice D reason: A case management evaluation is useful for long-term planning and optimizing home care, but it does not address the immediate need for temporary coverage during the reunion. It is more appropriate for assessing ongoing needs rather than short-term respite solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A measurable reduction in fasting blood glucose levels is a direct clinical outcome and reflects improved disease management. It demonstrates that the education provided had a tangible impact on the clients’ health behaviors and glycemic control.
Choice B reason: Attendance is a process measure, not an outcome. It shows interest but does not indicate whether the education led to improved health outcomes.
Choice C reason: Parking concerns are logistical and unrelated to the effectiveness of the educational content or its impact on health outcomes.
Choice D reason: Demonstrating a skill is a teaching strategy, not an outcome. While it may contribute to learning, it does not measure whether clients applied the knowledge to improve their health.
Correct Answer is B
Explanation
Choice A reason: Seatbelt campaigns are important for vehicle safety but do not directly impact pedestrian safety for children walking to school. The focus should be on protecting children in transit, not drivers.
Choice B reason: Designated safe houses provide children with secure locations to seek help if they feel threatened or unsafe while walking. This strategy directly enhances pedestrian safety and community engagement.
Choice C reason: Lead inspections are important for environmental health but are unrelated to the immediate safety of children walking to and from school. This action does not address the PTO’s goal.
Choice D reason: Keeping porch lights on improves visibility and may deter crime, but it is a passive measure. It does not offer direct support or protection for children in distress.
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