To best assure both the quality of care and the safety of the ...

[mcmcdaniel]

To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed assistive personal (UAP) assistance, the geriatric nurse
 
  a. evaluates the competency of the UAP staff.
  b. assumes the roles of case manager and patient advocate.
  c. arranges for the needed UAP provided services.
  d. assesses the patient for functional limita-tions.

Question 2

The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur
 
  The family expresses concern about the patient's pending transfer to a subacute care facility. What response by the nurse is best?
  a. Acute care facilities lack the long-term physical therapy support your dad re-quires.
  b. Your dad will be much happier in a more serene, private environment.
  c. The subacute facility will focus on help-ing your dad maintain his independence.
  d. Insurance, including Medicare, will cover only a limited amount of time here.

[dantucker]

Answer to Question 1

A
As more care traditionally provided by professional nurses is being transferred to UAP, the nurse must assume more responsibility for educating, training, and evaluating the competency of UAP staff to provide safe, effective care for the older adult patient.

Answer to Question 2

C
The transfer of the patient to a subacute facility is based on the need to maintain the patient's level of function and independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.

[mcmcdaniel]

Excellent

[kusterl]

Thanks for the timely response, appreciate it