An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client?
Hospice care
Meals on Wheels
A rehabilitation facility
Temporary Assistance for Needy Families (TANF)
The Correct Answer is B
A. Hospice care: Hospice care is reserved for clients with a terminal illness and a life expectancy of 6 months or less. This client has functional deficits but is not described as terminally ill.
B. Meals on Wheels: The client's primary deficits are the inability to shop (transportation) and the inability to cook safely (safety risk). "Meals on Wheels" is a community-based program designed specifically for homebound older adults to ensure they receive nutritious meals, addressing both the nutritional and safety concerns.
C. A rehabilitation facility: Rehabilitation is typically for short-term recovery following an acute injury (like a hip fracture) or illness (like a stroke). This client is describing age-related functional decline, which is better managed with home-based support services.
D. Temporary Assistance for Needy Families (TANF): As the name implies, TANF is a financial assistance program for low-income families with children. It is not designed for older adults living alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Nurse 1:Sharing results of satisfaction surveys is part of the Evaluation phase (determining if the program worked), not Implementation.
B. Nurse 2:Generating an impact report on ED visits is also an Evaluation activity (measuring outcomes).
C. Nurse 3:"Met with clients to explain services" and "Discussed referral process" are active interventions. The nurse is executing the plan by connecting clients with resources.
D. Nurse 4:"Sent client referrals to providers" is an action. Implementation involves putting the plan into action, such as coordinating care and making referrals.
E. Nurse 5:Conducting an analysis of existing community resources is part of the Assessment phase (gathering data before planning).
Correct Answer is ["A","C","E"]
Explanation
A. Ambulate a client who has a cane:Ambulating a stable client is a standard skill (ADL) that does not require nursing assessment.
B. Demonstrate the technique to instill eye drops:"Demonstrating" implies teaching. Teaching and evaluating learning are the exclusive responsibilities of the RN and cannot be delegated to an AP.
C. Record urinary output:Assistive Personnel can collect data (measure volume) and record it. The RN then analyzes that data (assessment).
D. Irrigate a wound:Wound irrigation is a sterile or clean procedure that requires assessment of the wound bed and skin integrity. This is a nursing skill.
E. Transfer a client to a stretcher:Transfers and mobility assistance are standard skills within the AP's scope of practice, provided the client is stable.
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