An older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care?

Correct Answer: D

Rationale: The correct answer is D: Facilitate family rituals related to death and dying. In end-of-life care, it is essential to support the older adult and their family in their cultural and spiritual practices to promote comfort and closure. This intervention aligns with the goals of long-term care by addressing the psychological and emotional needs of the patient and family. Providing a basin and towels (B) focuses on physical self-care, which may not be a priority in end-stage disease. Decreasing analgesic dose (A) can compromise pain management and quality of life. Informing family members about strict visiting hours (C) can hinder emotional support and connection during this critical time.

Correct Answer: C

Rationale: The correct answer is C: Urinary tract infections (UTIs). UTIs are a common cause of delirium in hospitalized older adults due to their impact on the central nervous system. UTIs can lead to systemic inflammation and affect cognitive function, resulting in delirium. Other choices like medication side effects, sleep deprivation, and electrolyte imbalances can contribute to delirium but are not as common or direct as UTIs in this population.

Correct Answer: B

Rationale: Step 1: Maintaining cognitive function is crucial for adapting to changes and problem-solving in older age. Step 2: Social engagement helps combat loneliness and promotes mental well-being. Step 3: Both factors contribute to a higher quality of life and overall well-being in older individuals. Summary: A is incorrect as chronic diseases are common in aging. C is incorrect due to over-reliance on medical interventions. D is incorrect as independence doesn't necessarily equate to successful aging.

Correct Answer: C

Rationale: The correct answer is C: Pneumonia. Older adults are more susceptible to pneumonia due to weakened immune systems and underlying health conditions. Pneumonia can lead to severe complications, requiring hospitalization. Osteoarthritis (A) primarily affects joints and does not typically lead to hospitalization. Stroke (B) and heart failure (D) are serious conditions but may not be as common for hospitalization as pneumonia in older adults. Pneumonia's impact on the respiratory system and its ability to progress rapidly make it the most common reason for hospitalization in this population.

Correct Answer: C

Rationale: The correct answer is C: Relief from physical, emotional, and spiritual suffering. This is the best indicator of a successful transition to hospice care for older adults because hospice care focuses on providing comfort and improving quality of life rather than curative treatments. Relief from suffering aligns with the goals of hospice care, addressing the holistic needs of patients. Choice A is incorrect as complete cessation of all medical treatments may not be appropriate for all patients in hospice care. Choice B is incorrect as improvement in physical strength may not be the primary goal in hospice care. Choice D is incorrect as long-term emotional stability is important but not necessarily the best indicator of a successful transition to hospice care.