An older patient is accompanied to a physician's office visit ...

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An older patient is accompanied to a physician's office visit with an adult daughter who walks with an assistive device. The older patient is hard of hearing, has osteoarthritis, and has difficulty completing activities of daily living.
 
  Which nursing diagnosis would the nurse identify as being the priority at this time? 1. Social isolation
  2. Caregiver role strain
  3. Ineffective protection
  4. Situational low self-esteem

Question 2

What will the nurse keep in mind when documenting the suspected abuse of an older patient?
 
  1. Photo documentation is not usually included as part of the documentation.
  2. Documentation should include objective data of the older patient's reaction when the suspected abuser is present.
  3. It is important to include the nurse's personal opinion of the suspected abuser and the nurse's prior experience in similar cases.
  4. The details of the documentation should not be reported to the adult protective services; it is important that they come to an independent conclusion about the issue of abuse.

[macmac]

Answer to Question 1

2
Rationale: The diagnosis of social isolation is not a priority since there is no evidence that the older patient is isolated.

Answer to Question 2

2
Rationale: Photographic documentation is especially helpful in cases where there is observable evidence.

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Thank you

[macmac]

Happy to help you