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 B

Explanation

A. Wrongful acts against another party:

This situation typically falls under civil law, specifically tort law. Wrongful acts against another party, such as negligence or malpractice by a nurse, result in civil lawsuits where the injured party seeks compensation for damages. It involves private disputes between individuals rather than matters of public law.

B. Licensing of a home health agency:

This situation pertains to public law. Licensing of home health agencies involves governmental regulations and oversight to ensure that these agencies meet specific standards of care and safety. It is a matter of public concern because it involves the protection of the public's health and welfare by regulating healthcare services provided to individuals in their homes.

C. Invasion of a client's privacy:

Invasion of privacy typically falls under civil law, particularly tort law related to privacy violations. It involves individuals' rights to be free from unwarranted intrusion into their personal affairs or private matters. While privacy rights are important and protected by law, they are typically addressed through civil litigation rather than public law.

D. Battery of a client:

Battery is a legal term in civil and criminal law referring to the intentional and unlawful touching of another person without their consent. In the context of nursing practice, battery could occur if a nurse performs a procedure on a patient without obtaining proper consent or against the patient's wishes. Like wrongful acts against another party, battery generally falls under civil law and may result in legal action brought by the injured party.

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."

While signing a directive may be part of the admission process, confidentiality is not contingent solely on this. The statement may give the impression that the client's privacy depends on a specific action they took, which is not entirely accurate. Privacy is protected by law regardless of whether a directive was signed.

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

Privacy legislation (such as HIPAA in the U.S.) does protect a client's health information, but the statement that records "will not leave this hospital" could be misleading. Records can be shared within the healthcare system or with others involved in the client's care, with the client's consent. This option may oversimplify the scope of privacy protection.

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

This is an accurate and appropriate response. It acknowledges the client's concern and reassures them that the law protects their confidentiality, emphasizing that their health information will not be shared inappropriately.

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

While this statement reassures the client, it is not entirely accurate. Some information may need to be shared with other healthcare providers involved in the client's care, or in situations required by law (e.g., public health reporting, certain legal proceedings). The statement could be misleading by implying absolute confidentiality, which is not the case.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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