Author Question: An elderly client who has had a stroke is ready for hospital discharge. How should the ... (Read 67 times)

savannahhooper · **on:** Jul 23, 2018

An elderly client who has had a stroke is ready for hospital discharge. How should the gerontological nurse case manager support this client's independence?

1. Allow the client to be actively involved in all decisions made.
2. Make arrangements based on what the nurse feels is in the best interest of the client.
3. Work closely with the social worker and physician to make the decisions necessary for the client.
4. Set up a meeting with the family members so decisions can be made.

Question 2

A nurse is working with clients in an assisted living facility. In the past month, there have been several deaths among the residents and their spouses.

. In helping the remaining residents deal with these deaths, the nurse understands that adjustment may be easier for which resident?
1. A resident who spent most of her days attending to her partner who is now deceased
2. A resident who had a wide circle of friends, besides her spouse
3. A resident who was not inclined to participate in any activities offered at the facility
4. A resident who started to become more dependent on the nursing staff at the facility

FergA · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. Most elders are willing to listen to suggestions and advice, but they do not want to be ordered around. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 2: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. This option does not reflect an understanding of the client's right to autonomy.
Rationale 3: This option does not reflect an understanding of the client's right to autonomy. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 4: This option does not reflect an understanding of the client's right to autonomy. Nurses need to acknowledge the older client's ability to think, reason, and make decisions. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.

Answer to Question 2

Correct Answer: 2
Rationale 1: Independence established prior to the loss of a mate makes adjustment easier.
Rationale 2: Independence established prior to the loss of a mate makes adjustment easier. A person who had meaningful relationships and friendships or economic security, ongoing interests in the community or private hobbies, and a peaceful philosophy of life copes more easily with bereavement.
Rationale 3: Not participating in functions offered may indicate feelings of inadequacy or insecurity after a death has occurred.
Rationale 4: Becoming more dependent on the staff may indicate feelings of inadequacy or insecurity after a death has occurred.