The actions of the family of an older adult who just died are ...

[renzo156]

The actions of the family of an older adult who just died are chaotic, and they are unable to decide on a funeral home. Which recommendation should the nurse implement?
 
  a. Help them make a list of the problems.
  b. Provide a list of preferred funeral homes.
  c. Allow them privacy to work it out alone.
  d. Suggest they call someone who can help.

Question 2

An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse im-plement?
 
  a. Tell her to eliminate the use of caffeinated beverages.
  b. Coordinate a family conference with the older adult.
  c. Recommend exercises to strengthen the pelvic floor.
  d. Schedule voiding for every 2 hours around the clock.

[amandalm]

Answer to Question 1

D

Feedback
A Incorrect. Effective coping includes a focus on solutions rather than problems.
B Incorrect. The nurse avoids a potential conflict of interest by recommending fu-neral homes.
C Incorrect. The family can be unable to solve the problem alone because of inef-fective coping in the immediate mourning period.
D Correct. A characteristic of a good coper is one who has good communication with others; however, immediately after the older adult's death, this family is coping ineffectively with the loss. To facilitate the family with decision making, the nurse asks one family member to consider calling another person who is likely to help in this situation because this can help the individual to face the reality of the death. After making the suggestion, the nurse ensures the family has enough time for holding behaviors, to prepare the body if they wish, and to express their grief in privacy and in their own way.

Answer to Question 2

C
The nurse practitioner recommends pelvic floor exercises to strengthen the pelvic floor and the muscles that surround the urethra, vagina, and rectum to decrease the incidence of stress incon-tinence. Stress incontinence is usually due to weakened pelvic floor muscles; therefore eliminat-ing caffeinated beverages can be an ineffective treatment. Arranging a family conference is pre-mature and potentially embarrassing for the older adult. Many therapies are available to decrease this older adult's incontinence. Scheduled voiding is recommended at 2- to 4-hour intervals dur-ing the day and at 4-hour intervals at night.