The nurse is discharging an older woman who uses a walker from ...

[charchew]

The nurse is discharging an older woman who uses a walker from rehabilitative care. Which observation does the nurse use to determine whether the patient is prepared for discharge?
 
  a. She holds the front of the walker.
  b. She has a walker with four wheels.
  c. She takes four steps into the walker.
  d. She takes the walker to the elevator.

Question 2

A nursing home executive interviews RNs to fill a full-time position for direct patient care to maintain the standards of elder care. Which nurse should the nursing home hire?
 
  a. Nurse from a certified college
  b. Certified gerontological nurse
  c. Nurse with 15 years of experience
  d. Gerontological nurse practitioner

[chjcharjto14]

Answer to Question 1

D
The older adult uses the elevator to travel between floors of a building, demonstrating that she knows not to use a walker on the stairs and is thus safe to discharge. Older adults should use the arms of a walker for stability. A walker with four wheels can be easy to move; however, such ease of movement does not provide enough stability to be suitable as an assistive device. To use a walker correctly, she should take two steps at a time into the walker.

Answer to Question 2

B

Feedback
A Incorrect. A nurse educated in a certified college does not necessarily have spe-cialty education and training in gerontology.
B Correct. A certified gerontological nurse receives education and training to care for elders, assuring the nursing home and the public that the nurse has mastered the specialized skills and knowledge to care for elders according to gerontolog-ical nursing standards.
C Incorrect. A nurse with 15 years experience might have no experience with ger-ontology and offers no proof of specialized knowledge or skills.
D Incorrect. Although a gerontological nurse practitioner receives specialized education and training in gerontology, these nurses provide primary care in a nursing home.

[charchew]

Thank you

[chjcharjto14]

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