Following a recent exacerbation of heart failure, an 80-year-old widow is investigating several assisted living facilities. Which characteristic about a facility under consideration would most likely be considered atypical?

The bathroom organization is modified to accommodate physical disabilities.

A program where each client checks up on a designated neighbor once per day.

Twenty-four hour, on-site nursing care is provided at the facility

The facility prioritizes self-care over medical treatment.

Answer and Explanation

The Correct Answer is C

A. The bathroom organization is modified to accommodate physical disabilities: This characteristic is typical for assisted living facilities, as they often provide accommodations for residents with physical disabilities to enhance accessibility and promote independence in activities of daily living, including bathing and toileting.

B. A program where each client checks up on a designated neighbor once per day: This characteristic is somewhat typical for assisted living facilities that promote a sense of community and social support among residents. Such programs encourage social interaction, mutual assistance, and a sense of belonging among residents, contributing to their overall well-being.

C. Twenty-four hour, on-site nursing care is provided at the facility: This characteristic is atypical for most assisted living facilities, as they typically provide assistance with activities of daily living and medication management but do not offer round-the-clock skilled nursing care. Assisted living facilities are designed for individuals who need some assistance with daily tasks but do not require the level of medical care provided in skilled nursing facilities.

D. The facility prioritizes self-care over medical treatment: This characteristic is somewhat typical for assisted living facilities, as they generally focus on promoting independence, autonomy, and self-care among residents while also providing assistance with activities of daily living as needed. However, this does not mean that medical treatment is entirely disregarded; rather, assisted living facilities aim to strike a balance between supporting residents' self-care abilities and addressing their healthcare needs through appropriate services and resources.

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Correct Answer is A

Explanation

A. Maximum breathing and vital capacity have diminished since the previous studies.

This finding suggests a decline in lung function compared to previous assessments, which could indicate a pathological process rather than normal age-related changes. Diminished breathing capacity may be indicative of conditions such as pneumonia, chronic obstructive pulmonary disease (COPD), or other respiratory disorders.

B. Accumulation of serous fluid is seen between the lungs and the pleural membrane.

The accumulation of serous fluid between the lungs and the pleural membrane is consistent with pleural effusion, which is a pathological condition rather than a normal age-related change. Pleural effusion can occur due to various causes, including infection, inflammation, heart failure, or malignancy.

C. The lungs are smaller than younger adults' and there are fewer alveoli.

This option describes normal age-related changes in the respiratory system. With aging, the lungs may undergo structural changes such as decreased elasticity and fewer alveoli, leading to reduced lung capacity and efficiency. While this finding is typical of aging, it does not necessarily indicate a pathological process.

D. The client has fewer cilia than would be found in a younger client.

A reduction in cilia is associated with aging and is considered a normal age-related change. Cilia are hair-like structures in the respiratory tract that help remove mucus and debris. While decreased ciliary function may contribute to respiratory infections in older adults, it is not necessarily indicative of a specific pathological process.

A. "Provided you signed a directive on admission, your records will not be made public." B. "Privacy legislation ensures that your medical records will not leave this hospital." C. "The law protects your right to confidentiality and health information from being released into unintended hands." D. "Anything that is discussed between us is confidential and will not be shared with anyone else."

Correct Answer is C

Explanation

A. "Provided you signed a directive on admission, your records will not be made public."

This response may not be entirely accurate or reassuring for the client. While directives or forms signed upon admission might address aspects of confidentiality or consent, they typically pertain to specific legal or medical procedures rather than general confidentiality protections. Additionally, stating that records "will not be made public" might oversimplify the issue, as confidentiality extends beyond just making records public and involves safeguarding information from unauthorized access or disclosure.

B. "Privacy legislation ensures that your medical records will not leave this hospital."

While privacy legislation does indeed protect the confidentiality of medical records, this response might be overly restrictive or misleading. Confidentiality protections extend beyond the physical location of the hospital and involve various legal and ethical standards governing the handling and disclosure of health information. The statement could give the impression that the client's information is completely confined within the hospital, whereas confidentiality extends to all interactions involving healthcare providers, insurers, and others involved in the client's care.

C. "The law protects your right to confidentiality and health information from being released into unintended hands."

This response accurately conveys the essence of confidentiality protections under the law. It reassures the client that their health information is safeguarded against unauthorized disclosure and emphasizes the importance of confidentiality in healthcare. By mentioning "unintended hands," it underscores the broader scope of confidentiality beyond just making information public. This response is likely to provide the client with a sense of security regarding the privacy of their medical information.

D. "Anything that is discussed between us is confidential and will not be shared with anyone else."

While this response emphasizes the confidentiality of discussions between the nurse and the client, it might oversimplify the issue. Confidentiality in healthcare extends beyond verbal exchanges and encompasses all forms of health information, including medical records, test results, and treatment plans. While it is essential for the client to understand that their conversations with healthcare providers are confidential, they should also be aware of broader confidentiality protections governing their health information within the healthcare system.

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Following a recent exacerbation of heart failure, an 80-year-old widow is investigating several assisted living facilities. Which characteristic about a facility under consideration would most likely be considered atypical?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing care for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

An 81-year-old client with a diagnosis of Alzheimer disease needs surgery. There is a living will on file. Which direction will the nurse follow to determine who should provide consent?

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?

A 67-year-old male client comes to the clinic for an evaluation. When obtaining the client's history, a report of which finding would the nurse identify as a common age-related issue?

A nurse is teaching a 90-year-old client about a new medication regimen. Which principle would be most important for the nurse to integrate into the teaching session?

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?