A case management nurse is evaluating clients for placement in various facilities. Which client would the nurse determine to be the most appropriate candidate for an assisted living community?

A 72-year-old client with a leg cast following a motor vehicle collision

An 86-year-old client with poor vision who lives alone

An 82-year-old client with terminal lung cancer who is on hospice

A 78-year-old client who is bedridden following a stroke

Answer and Explanation

The Correct Answer is B

A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.

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Correct Answer is B

Explanation

A. Referring a client with hypertension to a nutritionist is a secondary prevention intervention, aimed at managing an existing risk.
B. Educating adolescents about the dangers of substance abuse is a primary prevention intervention, aimed at preventing the onset of substance abuse.
C. Teaching a diabetic patient about foot care and regular check-ups is a secondary prevention measure focused on managing existing disease.
D. Administering antibiotics is a tertiary prevention measure aimed at treating an existing infection.

A. Being over 65 years of age B. Working full-time in a factory job C. Having a chronic disease D. Speaking English as a second language E. Taking part-time post-secondary classes

Correct Answer is ["A","B","D"]

Explanation

A. Being over 65 years of age can be associated with lower health literacy due to a variety of factors, including less familiarity with digital health information and potential cognitive decline.
B. Working full-time in a factory job may correlate with lower health literacy due to lower levels of formal education and limited access to health education resources.
C. Having a chronic disease does not necessarily indicate low health literacy; in fact, managing a chronic condition may require higher health literacy to effectively engage in self-care.
D. Speaking English as a second language can be a significant risk factor for low health literacy due to language barriers that affect the ability to understand health information and navigate the healthcare system.
E. Taking part-time post-secondary classes typically indicates higher educational attainment and is less likely to be associated with low health literacy.

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A case management nurse is evaluating clients for placement in various facilities. Which client would the nurse determine to be the most appropriate candidate for an assisted living community?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention best exemplifies primary prevention?

Correct Answer is B

Explanation

The nurse is planning health promotion programs for a community-based health center and is concerned about the health literacy of the community. Which of the factors would the nurse identify as being risk factors for low health literacy? (Select all that Apply)

Correct Answer is ["A","B","D"]

Explanation

A nurse is visiting a client in the home to assess for potential safety risks. Which of the following findings would the nurse identify as being risks to the client's safety? (Select all that apply)

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

The nurse is discussing the ecological model of health care and includes characteristics related to marital status, level of education, race, attitudes, and beliefs. Which of the following influences in terms of the ecological model would cover these characteristics?

The nurse is organizing care plans for the following clients. Which client will necessitate interventions focused on secondary prevention?

The nurse plans to use pamphlets to teach newly immigrated clients about diabetes mellitus. Prior to initiating this education, what priority information should the nurse obtain?