Author Question: A nurse discusses driving with an older adult who continues to drive, but is probably unsafe on the ... (Read 25 times)

tuffie · **on:** Jul 11, 2018

A nurse discusses driving with an older adult who continues to drive, but is probably unsafe on the road. Which statement made by the nurse is most appropriate?

A) I am calling your child to take your keys.
B) I am concerned about your safety, as well as the safety of others.
C) We just don't want you to crash when you drive across the state.
D) You shouldn't drive anymore.

Question 2

A 79-year-old client has been admitted to a long-term care facility because of the progression of Alzheimer disease from mild to the moderate stage. How should the nurse proceed with functional assessment?

A) Document the fact that it is not possible to accurately gauge the woman's ADLs.
B) Obtain assessment data from the woman's family members and friends.
C) Perform assessment passively by observing and recording the woman's behavior and actions over the next several days.
D) Use an assessment tool that is specifically designed for use with cognitively impaired clients.

ultraflyy23 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Nurses can sensitively address issues about driving by expressing compassionate concern not only for the individual older adult but also for the safety of others.

Answer to Question 2

Ans: D
The presence of cognitive deficits presents a challenge to the assessment of a client's ADLs. However, there are assessment instruments that are designed for this explicit purpose and these should be utilized. The nurse should not forgo functional assessment. Observation and input from family should be included in assessment, but these do not replace a formal, functional assessment.