An older adult client recognizes the need for help with personal ...

[jenna1]

An older adult client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which action by the nurse may assist this client?
 
  A) Remind the client that physical strength will grow weaker at home until a nursing home is required.
  B) Suggest the client move in with adult children.
  C) Discuss with the physician and determine that the client is unable to make decisions and must be admitted to a nursing home immediately.
  D) Recommend a personal care assistant to help with activities of daily living and self-care.

Question 2

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus. The client wishes to take Communion but must fast for one hour prior to receiving it. Which action by the nurse is most appropriate?
 
  A) Contact the healthcare provider to suggest an alternative form of nutrition because the client is refusing to eat or drink.
  B) Provide the client with breakfast and morning medication and encourage the client to eat and take Communion some other time.
  C) Find out when the hospital clergy will be distributing Communion and adjust the client's medications and breakfast accordingly.
  D) Suggest that because the client is hospitalized, eating and drinking will not affect the Communion.

[Joc]

Answer to Question 1

Answer: D

The nurse needs to help strengthen the client's self-esteem. To best do this, the nurse should recommend a personal care assistant to help with activities of daily living and self-care. Suggesting that the client move in with children or be admitted to a nursing home does not strengthen the client's feelings of self-worth or a healthy self-concept. Having the physician determine that the client is unable to make decisions and admitting the client to a nursing home is inappropriate.

Answer to Question 2

Answer: C

To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.