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. A 79-year-old woman who has dysphagia following her recent stroke:

Dysphagia, or difficulty swallowing, following a stroke is a serious condition that requires careful management to prevent complications such as aspiration pneumonia or malnutrition. While dysphagia presents challenges, it may not necessarily indicate a deficit in knowledge, experience, or skills on the part of the client. Dysphagia management typically involves interventions by healthcare professionals rather than self-management by the client.

B. An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips:

This scenario suggests a deficit in knowledge and skills related to managing diabetes, a chronic condition that requires ongoing monitoring of blood glucose levels. Proper use of a glucometer and test strips is essential for self-management of diabetes. The client's inability to manipulate these devices indicates a potential gap in understanding or ability to perform necessary self-care tasks, which could compromise his health if left unaddressed.

C. An 89-year-old man who has recently lost the ability to climb stairs due to an exacerbation of his heart failure:

Losing the ability to climb stairs due to heart failure exacerbation is a significant functional decline rather than a deficit in knowledge, experience, or skills. While it may impact the client's mobility and quality of life, it doesn't necessarily indicate a lack of understanding or skills that could compromise health. The focus for this client would be on managing the exacerbation of heart failure and potentially regaining functional abilities through rehabilitation or other interventions.

D. A 78-year-old woman who states that she lost all hope since her spouse's death 5 months prior and no longer wants to stay active:

This scenario suggests emotional distress and loss of motivation following the death of the client's spouse rather than a deficit in knowledge, experience, or skills related to health management. While emotional well-being is important for overall health, addressing this issue would involve psychosocial support and interventions rather than focusing solely on deficits in knowledge or skills.

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age. B. Simple association is well executed by older adults but complex analysis is normally absent. C. Older adults require simplified learning objectives and slower introduction of new directions D. Successful learning late in life requires a multisensory teaching approach.

Correct Answer is C

Explanation

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age.

This statement is partially correct. While it is true that learning ability can be influenced by various factors such as health, cognitive function, motivation, and sensory impairments, it's not entirely accurate to say that learning ability is not seriously altered with age. Aging can indeed bring changes in cognitive function, including slower processing speed, reduced working memory capacity, and declines in certain aspects of learning and memory. Therefore, it's important for the nurse to recognize potential age-related changes and tailor teaching strategies accordingly.

B. Simple association is well executed by older adults but complex analysis is normally absent.

This statement oversimplifies the cognitive abilities of older adults. While some cognitive functions may decline with age, older adults are still capable of complex analysis and critical thinking. Research suggests that older adults can perform well on tasks that require experience-based knowledge, wisdom, and problem-solving skills. However, they may experience challenges with processing speed and working memory, which can affect learning and problem-solving in certain contexts. Therefore, the nurse should not underestimate the cognitive abilities of older adults but should consider individual differences and adapt teaching strategies accordingly.

C. Older adults require simplified learning objectives and slower introduction of new directions.

This statement aligns with principles of gerontological nursing and adult learning theory. Older adults may benefit from simplified learning objectives and a slower pace of instruction due to potential age-related changes in cognitive function, sensory abilities, and attention span. Breaking down complex information into smaller, manageable chunks and providing clear, step-by-step instructions can enhance comprehension and retention for older learners. Therefore, this principle is important for the nurse to integrate into the teaching session to optimize learning outcomes for the 90-year-old client.

D. Successful learning late in life requires a multisensory teaching approach.

While a multisensory teaching approach can be beneficial for learners of all ages, it is not the most important principle to integrate into teaching sessions with older adults. While sensory impairments may become more common with age, not all older adults experience significant sensory deficits. Additionally, older adults can benefit from various teaching strategies tailored to their individual needs and preferences. While multisensory approaches can enhance engagement and comprehension, the emphasis should be on adapting teaching strategies to accommodate age-related changes in cognitive function and learning preferences. Therefore, while beneficial, this principle may not be the most critical for the nurse to prioritize in this scenario.

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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 B

Explanation

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Correct Answer is C

Explanation

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