Which assessment findings of an older adult living in an ...

[Destiiny22]

Which assessment findings of an older adult living in an assisted-living facility indicate the highest risk for suicide?
 
  a. Liver failure due to alcohol abuse, is popular at meals
  b. Declines company, preoccupied with lethal weapons
  c. Refuses to allow a large, extended family to help him
  d. Acetaminophen overdose 20 years ago, in sewing group

Question 2

Which of the following statements is true about case management and care management for older adults?
 
  a. A case manager works for a health care system to save time and money.
  b. Care managers are usually paid from pub-lic agencies such as the Area Agency on Aging (AAA).
  c. One nurse can only perform care man-agement.
  d. The Outcomes-Based Quality Improve-ment system is designed to evaluate the expected benefit of a procedure.

[macagnavarro]

Answer to Question 1

B

Feedback
A Incorrect. The individual who has a serious illness and a history of alcohol abuse has two risk factors for suicide: however, this older adult also relishes social in-teraction, which is an indication that suicide is less likely to be imminent or even in the individual's thoughts.
B Correct. The older adult who prefers to be alone and is preoccupied with lethal weapons has two risk factors for suicide. This individual warrants close obser-vation for additional risk factors and verbalization and indicators of future sui-cide attempts. The nurse should also increase the frequency of observations and account for his whereabouts at all times.
C Incorrect. The older adult who will not accept help from the family exhibits a potential risk factor for suicide or is an exceedingly proud individual who wants to be self-sufficient.
D Incorrect. History of a suicide attempt is a risk factor for suicide; however, the acetaminophen overdose could also have been accidental.

Answer to Question 2

A
A case manager works for a health care system to save time and money. Care managers are rarely paid through the AAA or similar agencies; they are usually paid privately and sometimes through Medicare or Medicaid. The nurse can perform case management and care management. The aspects measured in an Outcomes Based Quality Improvement System are known as efficacy, effectiveness, and efficiency.