The older adult wants to appoint an attorney-in-fact with durable ...

[Lobcity]

The older adult wants to appoint an attorney-in-fact with durable power of attorney (DPA) for a specific period around forthcoming surgery. Which should the nurse implement?
 
  a. Help the patient in finding a qualified attorney.
  b. Explain legal rights and responsibilities of an attorney-in-fact with DPA.
  c. Suggest using a guardian for the surgical period.
  d. Offer to act as the patient's guardian during surgery.

Question 2

The older male adult dislikes the daily meal he receives from his family because it is al-ways cold. He is underweight and has a hemoglobin of 11.2 g/100 ml. Which recom-mendation should the nurse implement?
 
  a. Assess the man for a potential transfer to an assisted living facility.
  b. Meet with the man and family to problem solve.
  c. Collaborate with a social worker for food stamps.
  d. Ask the family about providing hot meals for him.

[underwood14]

Answer to Question 1

A

Feedback
A Correct. The nurse provides safe, effective, and comprehensive care but should not provide legal advice to an older adult; instead, the nurse should refer the pa-tient to experts in the law and can assist the older adult with finding a suitable attorney. The nurse must avoid participating in the choosing of the individual attorney to avoid conflict of interest.
B Incorrect. The nurse can provide short general explanations about powers of at-torney in order to assist the patient in finding suitable legal counsel, but the nurse should leave explanations about the law surrounding a DPA to the attor-neys.
C Incorrect. The nurse should avoid providing legal advice to an older adult to avoid conflict of interest.
D Incorrect. The nurse should avoid offering to participate in or participating in an older adult's legal affairs to avoid conflict of interest.

Answer to Question 2

B

Feedback
A Incorrect. Although this can be an option, it would be premature to implement this before any other attempts to resolve the problem.
B Correct. This man is underweight and has low hemoglobin, potential signs of malnutrition. The nurse employs education and problem solving for adults who have nutritional deficiencies and live in the community and thus meets with the family and the older adult to manage the malnutrition and improve this nutri-tional status.
C Incorrect. Sources for food are not this man's problem unless the family-supplied meal is his only source of food, which the reader does not know.
D Incorrect. This can be a part of education and problem solving; still, the best chance of improving this man's malnutrition is to engage him in the plan; thus the nurse avoids contacting the family except to engage them in problem solving along with the older adult.

[Lobcity]

TY

[underwood14]

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