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1. An older female resident in the residential facility keeps a large collection of personal items and photographs of her late husband on her bedside table, but the nursing assistant and resident frequently argue about this. Why should the nurse intervene between the resident and the nursing assistant?
a. Resident is attempting to maintain her sense of personal space.
b. Resident needs to accept the reality of her spouse’s death.
c. Resident’s argumentative nature can indicate early dementia.
d. Clutter from all the personal items is a safety and liability risk. |
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2. Which statement is true about living arrangements for older adults?
a. Older adults are more independent in their own homes than in a residential community.
b. The increase in real estate values makes home ownership essential to security.
c. Program for All-Inclusive Care for the Elderly (PACE) is a community alternative to nursing home care for frail older adults.
d. Florida is an example of a naturally occurring retirement community (NORC). |
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3. As the nurse admits an older woman to a long-term care facility from her home of 50 years, she mistakes the nurse for her daughter. Which diagnosis does the nurse use to plan care for this woman?
a. Hypoxia as a result of chronic disease
b. Relocation stress syndrome
c. Alzheimer disease (AD)
d. Attention-seeking behavior |
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4. Which statement is true about residential living for older adults?
a. A residential care facility is the new term for a nursing home.
b. An assisted living facility (ALF) must have an registered nurse (RN) on staff.
c. Administrators are realizing that their duty is to care for the residents as people.
d. A “granny flat” is an apartment in a high-rise building reserved for seniors. |
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5. A family that has three small children prepares to move an older female parent into their home knowing that she stays up all night. The nurse helps the family prepare for the change. Which part of planning should the nurse indicate is the family’s priority?
a. Sharing household responsibilities
b. Preparing the house for her arrival
c. Helping her use her skills and talents
d. Setting limits on nighttime activities |
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6. A resident of a long-term care facility has been asking to have the drain in the bathroom sink repaired for 2 months. The nurse responds by saying that when they move to the new building, the sinks will work very well. Which right of a resident of a long-term care facility has the nurse violated?
a. Right to be free of all forms of abuse
b. Right to be transferred for appropriate reasons
c. Right to voice grievances and have them remedied
d. Right to information about conditions and treatments |
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7. A nursing home is converting to a person-centered culture from an institution-centered culture. Which nursing intervention will be suitable in the new culture?
a. Maintain consistent resident assignments.
b. Provide structured activities for the residents.
c. Assign nursing assistants to perform bathing.
d. Determine mealtime on the basis of staffing levels. |
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8. The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report. Which nursing actions are the responsibilities of the transferring nurse and the receiving nurse?
a. Incorporating patient goals into the plan
b. Ensuring the patient is stable for transfer
c. Supplying patient documents for planning
d. Providing continuity of care during the transfer |
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9. The nurse assesses a resident who was transferred yesterday from an acute care hospital. Which should the nurse assess to determine whether this individual is under stress from the transfer?
a. Length of the resident’s stay in the acute care facility
b. Availability of disposition options before the transfer
c. Presence of familiar people throughout the transfer
d. Tour of the new facility shortly after transfer |
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10. Which is characteristic of relocation stress syndrome in a resident of a long-term care facility?
a. Agitation
b. Apprehension
c. Caring family
d. Hallucinations |
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11. A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge.
a. Medication reconciliation
b. Providing a list of community resources
c. Contacting a durable medical equipment facility
d. Educating the client on appropriate range-of-motion exercises |
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1. A family is touring selected nursing homes in preparation for their mother’s future. Which qualities of a nursing home should the family include if they decide on a person-centered nursing home? (Select all that apply.)
a. Staff members cover all nursing units.
b. Residents and families have a council.
c. Residents choose stimulating activities.
d. Staff members respond to residents’ needs.
e. Group activities are scheduled on the hour.
f. Staff members help residents stay well-groomed. |
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2. An elder-friendly community includes components that: (Select all that apply.)
a. Address basic needs
b. Optimize physical health
c. Provide financial assistance
d. Maximize independence
e. Provide social engagement |
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3. Which home modification interventions are designed to enhance the ability of older adults to remain in their homes? (Select all that apply.)
a. A 36-inch-wide doorway
b. Entryways with less than two steps
c. Electrical outlets at chest level
d. A bathroom on the first floor |
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