A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
"The food is not great, but it is nice not having to do all of my own cooking."
"I don't want to go to the activity room because none of the other residents can hear."
"The staff sometimes have to remind me to use a cane when I walk in the hall."
"When I go out, I've been using public transportation since I can't drive anymore
The Correct Answer is B
Correct answer: B
A. "The food is not great, but it is nice not having to do all of my own cooking.":
This statement acknowledges a minor issue with the food but overall expresses satisfaction with the convenience of not having to cook, indicating some level of acceptance of the transition.
B. "I don't want to go to the activity room because none of the other residents can hear."
This statement suggests a feeling of disconnection or dissatisfaction with the activities available in the assisted living facility. The client may be expressing frustration or a sense of isolation because the other residents cannot hear, which could hinder their ability to engage socially and participate in activities. Difficulty accepting the transition may manifest as resistance or reluctance to participate in aspects of facility life, such as group activities, due to perceived limitations or barriers.
C. "The staff sometimes have to remind me to use a cane when I walk in the hall.":
While this statement may indicate some adjustment to the need for assistance or reminders, it does not necessarily suggest difficulty accepting the transition. Instead, it reflects a willingness to comply with safety recommendations provided by the staff.
D. "When I go out, I've been using public transportation since I can't drive anymore":
This statement acknowledges a change in transportation habits due to inability to drive, which may be a practical adaptation to the client's circumstances rather than a sign of difficulty accepting the transition to assisted living.
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Related Questions
Correct Answer is B
Explanation
A. Place the bedside table 0.9 m (3 feet) away from the bed:
While having a bedside table nearby can be convenient for clients to access essential items, the specific distance of 0.9 m (3 feet) is not a standard guideline for falls prevention. Placing the bedside table closer to the bed may actually improve accessibility for the client, but it's not the most crucial action for falls prevention in this scenario.
B. Provide the client with a night light.
Falls prevention strategies aim to create a safe environment for clients at risk of falling. Providing a night light helps improve visibility during nighttime, reducing the risk of falls due to poor lighting. It assists clients in navigating their surroundings safely, especially when getting out of bed during the night.
C. Elevate full-length side rails on both sides of the client's bed:
Using full-length side rails on the bed can increase the risk of entrapment and injury, especially for clients at risk of falls. Current evidence suggests that the use of physical restraints, such as full-length side rails, does not effectively prevent falls and may contribute to adverse outcomes.
D. Keep the client's room temperature at 18°C (64.4°F):
While maintaining a comfortable room temperature is important for client comfort, the specific temperature of 18°C (64.4°F) is not a standard guideline for falls prevention. Instead, ensuring a comfortable temperature range based on individual client preferences and environmental factors is appropriate.
Correct Answer is ["A","C","E","F"]
Explanation
A. History of diabetes mellitus: This is correct. Diabetes mellitus can lead to delayed wound healing due to various factors, including impaired circulation, neuropathy, and compromised immune function.
B. Cholesterol level: While abnormal cholesterol levels can impact cardiovascular health, they are not directly linked to delayed wound healing unless they are part of a broader metabolic disorder or condition that affects vascular health.
C. Prealbumin level: Prealbumin is a marker of nutritional status. Low prealbumin levels can indicate malnutrition, which is a risk factor for delayed wound healing.
D. History of hyperlipidemia: Hyperlipidemia refers to high levels of fats (lipids) in the blood, such as cholesterol and triglycerides. While hyperlipidemia is associated with cardiovascular risk, it is not a direct risk factor for delayed wound healing unless it is part of a broader metabolic syndrome or condition affecting vascular health.
E. Mini Nutritional Assessment screening tool score: This is correct. The Mini Nutritional Assessment (MNA) screening tool assesses nutritional status, and a low score indicates malnutrition or nutritional deficiencies, which can contribute to delayed wound healing.
F. History of malnutrition: This is correct. Malnutrition, whether due to inadequate intake, absorption issues, or other factors, is a significant risk factor for delayed wound healing as it affects the body's ability to repair tissues and fight infection.
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