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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Albumin 3.1 g/dL (3.5 to 5.0 g/dL)

Albumin is a protein produced by the liver, and its levels are commonly used as an indicator of nutritional status, particularly protein status. In clients with liver dysfunction and receiving continuous tube feeding, a low albumin level indicates protein deficiency. Albumin plays a crucial role in maintaining oncotic pressure in the blood vessels, and decreased levels can lead to fluid shifts and edema, among other complications.

B. Transferrin 400 mg/dL (250 to 380 mg/dL):

Transferrin is a protein involved in iron transport. While high transferrin levels may indicate iron deficiency, they do not directly reflect protein deficiency.

C. Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL):

Uric acid is a waste product of metabolism. Low uric acid levels are not indicative of protein deficiency; instead, they may be seen in conditions such as liver dysfunction or decreased production of uric acid.

D. Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL):

Total iron-binding capacity measures the amount of iron that can be bound by transferrin. Elevated total iron-binding capacity may indicate iron deficiency, but it does not directly reflect protein deficiency.

A. Eyewear B. Gloves C. Mask D. Gown

Correct Answer is B

Explanation

A. Eyewear: Eyewear, such as goggles or a face shield, should be removed after the mask. Eyewear protects the eyes from exposure to infectious respiratory droplets or aerosols. When removing eyewear, the nurse should handle it by the sides and avoid touching the front surface, which may be contaminated.

B. Gloves: Gloves are the first item to be removed when leaving the client's room. This is because gloves are in direct contact with potentially contaminated surfaces or materials. Removing gloves first helps prevent the spread of pathogens from the gloves to other parts of the PPE or the nurse's skin.

C. Mask: After removing gloves, the nurse should remove the mask next. Masks are worn to protect the respiratory system from inhaling airborne infectious particles. When removing the mask, it's important to handle it by the straps or ties and avoid touching the front surface, which may have been exposed to pathogens.

D. Gown: The gown is the last item to be removed. Gowns provide coverage to protect clothing and skin from contamination. When removing the gown, it's important to do so carefully to avoid contaminating oneself or the surrounding environment.

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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?

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