Mr. John is an 81-year-old man who lives alone. On a recent visit ...

[TVarnum]

Mr. John is an 81-year-old man who lives alone. On a recent visit to his physician, it was noted that Mr. John had dried feces on his legs and under his fingernails. His hair was oily, and his beard was unkempt.
 
  He had lost 15 lb in the last 2 months. Mr. John is at high risk for
  a. Diabetes
  b. Nursing home placement
  c. Adult day care
  d. Tuberculosis

Question 2

An assisted-living community would be an appropriate choice for which of the following?
 
  a. A nonambulatory terminally ill patient
  b. An ambulatory patient who has a chronic condition that requires medication
  c. A nonambulatory, very frail person with a serious chronic illness
  d. A completely independent and ambulatory older adult

[dudman123]

Answer to Question 1

B
Older individuals who are depressed frequently exhibit poor personal hygiene and nutrition. These individuals are at high-risk for nursing home placement because they lack motivation. Adult day care is not an appropriate solution because Mr. John has physical hygiene needs that cannot be met. Responses A and D are incorrect.

Answer to Question 2

B
Assisted-living communities generally require residents to be ambulatory and fairly independent. Taking medication for a chronic condition does not bar a person from an assisted-living facility. Nonambulatory terminally ill patients or patients with serious chronic conditions (responses A and C) should be treated in a hospital or skilled nursing facility or by hospice care. A completely independent and ambulatory adult does not need the services of an assisted-living community and probably should forego the cost of such a placement until it is needed.

[TVarnum]

Excellent

[ghepp]

TYSM