Author Question: The family of an older patient with chronic health problems and increasing weakness is considering ... (Read 59 times)

Deast7027 · **on:** Jun 25, 2018

The family of an older patient with chronic health problems and increasing weakness is considering placement in a long-term care (LTC) facility. Which action by the nurse will be most helpful in assisting the patient to make this transition?

a. Have the family select a LTC facility that is relatively new.
b. Obtain the patient's input about the choice of a LTC facility.
c. Ask that the patient be placed in a private room at the facility.
d. Explain the reasons for the need to live in LTC to the patient.

Question 2

Which patient is most likely to need long-term nursing care management?

a. 72-year-old who had a hip replacement after a fall at home
b. 64-year-old who developed sepsis after a ruptured peptic ulcer
c. 76-year-old who had a cholecystectomy and bile duct drainage
d. 63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)

gstein359 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The stress of relocation is likely to be less when the patient has input into the choice of the facility. The age of the long-term care facility does not indicate a better fit for the patient or better quality of care. Although some patients may prefer a private room, others may adjust better when given a well-suited roommate. The patient should understand the reasons for the move but will make the best adjustment when involved with the choice to move and the choice of the facility.

Answer to Question 2

ANS: D
Osteoarthritis and obesity are chronic problems that will require planning for long-term interventions such as physical therapy and nutrition counseling. The other patients have acute problems that are not likely to require long-term management.