Week 1 Care of Older Adults: Culture, Spirituality, Communication,Sexuality, Infection Control Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing,10th Edition MULTIPLE CHOICE  The nurse cares for an alert, homeless older adult patient who was admitted to the hospital with a chronic foot infection. Which intervention is the most appropriate for the nurse to includein the discharge plan for this patient? a) Teach the patient how to assess and care for the foot infection. b) Refer the patient to social services for assessment of resources. c) Schedule the patient to return to outpatient services for foot care. d) Give the patient written information about shelters and meal sites. ANS: B An interprofessional approach, including social services, is needed when caring for homeless older adults. Even with appropriate teaching, a homeless individual may not be able to maintainadequate foot care because of a lack of supplies or a suitable place to accomplish care. Older homeless individuals are less likely to use shelters or meal sites. A homeless person may fail to keep appointments for outpatient services because of factors such as fear of institutionalization or lack of transportation.