An 80-year-old is seen in the emergency department for a fall. ...

[s.tung]

An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed, and whose breath smells of alcohol.
 
  Which of the following should be a priority with the nurse?
 
  A) Assess whether the older adult is safe in the home environment.
  B) Determine whether legal interventions are appropriate.
  C) Assess the client's degree of frailty and chronic health problems.
  D) Determine the mental capacity of the older adult.

Question 2

A nurse plans discharge for an older woman from China who is living with her son. Which of the following should be included in this plan to indicate that the nurse understands cultural influences?
 
  A) Include all family members in discharge planning.
  B) Ensure that the discharge plan does not include any technologic aspects.
  C) Review the discharge plans with the client and her son.
  D) Speak only with the client.

[Zebsrer]

Answer to Question 1

Ans: A
The first priority should be to see whether the older adult is safe and then determine his competency. Legal intervention can be pursued after safety and competency are determined. The degree of frailty and chronic health problems is assessed with safety issues and determination of competency.

Answer to Question 2

Ans: C
In the Chinese culture, each family has a recognized male head who has great authority and assumes all major responsibilities. Avoidance of technology is not part of this culture.