Author Question: An 84-year-old client has been living in an assisted living facility for several years but is now ... (Read 113 times)

awywial · **on:** Jul 11, 2018

An 84-year-old client has been living in an assisted living facility for several years but is now faced with the prospect of relocating to a nursing home.

Which of the following characteristics of the client's current situation is most likely to prompt this move?

A) The development of a severe, acute health problem
B) A decrease in the client's level of function and activities of daily living (ADLs)
C) Exacerbation of a chronic health problem that may require medical treatment
D) A change in the level of the client's social support

Question 2

Active care management is often necessary in order to maintain wellness among older adults. Which of these older adults is most likely to require care management?

A) A 90-year-old man who lives alone and has no living family members
B) A 77-year-old woman who enjoyed good health until she suffered a severe stroke 3 days earlier
C) An 81-year-old resident of a nursing home whose Alzheimer disease is progressing rapidly
D) A 90-year-old man who has recently been transferred from an assisted living facility to an acute care setting

cassie_ragen · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Nursing home settings are becoming increasingly diverse, but a common feature of older adults who are admitted to nursing homes is a decrease in function and ADLs. Acute health problems that require medical treatment necessitate hospital admission, and a change in social support would not necessarily prompt a move from assisted living.

Answer to Question 2

Ans: A
Community-dwelling older adults who may lack family involvement in their care often require independent community-based professional geriatric care management. Individuals who are experiencing acute medical conditions and who are in institutional or acute care settings are not frequent recipients of care management.