A nurse is teaching a family of an older adult about the role of ...

[mia]

A nurse is teaching a family of an older adult about the role of adult day centers. Which of the statements by the family member indicates a need for further teaching?
 
  A) The day center can give me respite.
  B) The day center can improve our quality of life.
  C) The day center can be a useful alternative to medical care.
  D) The day center can contribute to an actual improvement in dementia symptoms.

Question 2

A nursing case manager monitors admissions into an acute care unit. Which of the following clients would be the most appropriate candidate for in-home skilled nursing care?
 
  A) A client requiring twice-daily dressing changes for a coccyx wound
  B) A client who has been admitted to the emergency department with a recent stroke
  C) A client with reoccurring urinary retention of unknown etiology
  D) A client who is scheduled for hip replacement surgery tomorrow

[juiceman1987]

Answer to Question 1

Ans: C
Adult day centers are a community-based resource providing food, supervision, and activity, but are not designed to provide acute medical care. They provide caregiver relief and have been linked to improved quality of life and decreased symptoms of dementia.

Answer to Question 2

Ans: A
Skilled home care is most appropriate for older adults who are recovering from an illness or injury and have potential for returning to their previous level of functioning. Following a stroke, a client requires hospitalization. A client with a poorly understood or undiagnosed health problem would not be an ideal candidate for home care, nor would a preoperative client.