An older patient with cognitive impairment is being cared for by ...

[Marty]

An older patient with cognitive impairment is being cared for by family members. They have expressed concerns about providing appropriate care as his functional level declines. The nurse responds
 
  a. I'm glad that you are interested enough in his care that you've expressed this concern.
  b. His abilities will certainly decline. This is the time to discuss other care options.
  c. You are right to be concerned. Let's talk about issues that may come up in the fu-ture.
  d. The condition will get worse, so think about what will happen if you can't meet his needs.

Question 2

The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most important that an interpreter be present when the patient
 
  a. indicates a desire to talk with the physi-cian.
  b. is being oriented to the facility.
  c. is required to sign official documents.
  d. begins crying and is inconsolable.

[pallen55]

Answer to Question 1

C
Caregivers need realistic information regarding the possible progression of the disease process and how that will affect patient needs/care. The nurse provides anticipatory guidance and helps the family identify issues that may occur in the future. Stating you are glad the family voiced concerns is caring but does not address the issue. Telling the family it is time to address other care options or what they should think about is presumptuous.

Answer to Question 2

C
The more complex the decision making, the more important it is to have an interpreter present. Although all situations would benefit from an interpreter, the most important time is when the patient is signing official documents that have legal implications.

[Marty]

Thank you

[pallen55]

No problemo