Suzanne Jackson is a registered nurse working in the office of an internal medicine physician. In this setting, Ms. Jackson has encountered a significant number of patients who identify with the older adult population. Many of them have significant comorbid conditions. Mrs. Bortello presents to the primary care office requesting assistance in the home. She is 86 years old and has a medical history of diabetes and congestive heart failure. She states she has noticed a recent increase in weakness when she is ambulating within the home and she is fearful about falling and suffering a hip fracture. Further discussion between Ms. Jackson and Mrs. Bortello indicates that the patient is interested in assistance with shopping and activities of daily living (ADLs) Question 1 Which of the following settings of care would be most appropriate for Mrs. Bortello’s housing needs? A.       Acute care B.       Long-term care C.       Independent living D.       Subacute care Question 2 Housing for the older adult is primarily based on which of the following factors? A.       Promotes functional independence B.       Promotes functional dependence C.       Provides access to primary care D.       Provides access to transportation Question 3 Older adults tend to move less frequently and prefer to grow older where they reside. This is known as: A.       Ageism B.       Aging in place C.       Countermigration D.       Immigration Question 4 Which assessment tool is used to determine the capacity of the older adult to carry out basic self-care activities? A.       Geriatric assessment B.       Depression screening tool C.       Nutritional assessment D.       Functional ability

Question 1:

The most appropriate setting of care for Mrs. Bortello’s housing needs would be B) Long-term care. Long-term care facilities, such as assisted living communities or nursing homes, are designed to provide comprehensive support and assistance for individuals who require help with activities of daily living (ADLs) and have significant medical conditions. In this case, Mrs. Bortello’s increased weakness and fear of falling indicate a need for a higher level of care and supervision that can be provided in a long-term care setting. Long-term care facilities have staff available 24/7 to assist residents with their daily needs, including shopping and ADLs.

Acute care, on the other hand, is a short-term care setting typically reserved for individuals who require immediate medical attention or hospitalization. Subacute care is a transitional level of care between acute care and long-term care, usually for patients who no longer require hospitalization but still need medical monitoring and rehabilitation. Independent living is a housing option for older adults who are able to live independently with minimal assistance and support.

Question 2:

The primary factor in housing for the older adult is A) Promotes functional independence. Housing options for older adults should be designed to promote their ability to live independently and perform activities of daily living (ADLs) to the best of their ability. This includes features such as accessible design, safety measures, and support services that enable older adults to maintain their autonomy and carry out their daily routines.

Promoting functional dependence would be counterproductive to the goal of enabling older adults to live independently. Providing access to primary care and transportation are important considerations, but they are secondary factors in housing for the older adult compared to promoting functional independence.

Question 3:

The term that describes the tendency of older adults to stay in their current living situation and age in place is B) Aging in place. Aging in place refers to the preference and ability of older adults to remain in their own homes or communities as they age, rather than moving to new locations. This concept recognizes the importance of familiar surroundings, social connections, and maintaining independence for older adults. Ageism refers to discrimination or prejudice based on a person’s age. Countermigration and immigration are not relevant to this question.

Question 4:

The assessment tool used to determine the capacity of the older adult to carry out basic self-care activities is A) Geriatric assessment. A geriatric assessment is a comprehensive evaluation performed by healthcare professionals specializing in geriatrics. It includes a detailed assessment of physical, cognitive, and psychosocial functioning, as well as an evaluation of a person’s ability to perform activities of daily living (ADLs) independently. This assessment helps healthcare providers identify the specific needs and challenges faced by older adults and develop appropriate care plans. Depression screening tools, nutritional assessments, and functional ability assessments may be components of the geriatric assessment but are not the primary assessment tool for determining self-care capacity in older adults.