Answer to Question 1
C
Personalization of the environment for the resident's comfort and to reflect the resident's identity is the most important environmental consideration. Responses A and B have mixed reviews in the literature. The use of colors and stimulating wall coverings has been shown to increase agitation, yet barren and stark surroundings might relate to sensory deprivation. Response D is incorrect. If every room appears the same, it may add to the resident's confusion.
Answer to Question 2
D
Depression usually does not affect how chronic diseases, such as congestive heart failure and hypertension, are treated. It is hoped that part of the treatment for all older adults with chronic disease processes would include support of positive coping mechanisms to prevent depression. Older adults who are depressed often may be placed in a nursing home (response A) because of alterations in their cognition (response B) and ability to care for their personal needs (response C).
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