Author Question: An elderly client's children had always assumed they would be able to care for her until she died. ... (Read 37 times)

melly21297 · **on:** Jul 19, 2018

An elderly client's children had always assumed they would be able to care for her until she died.

However, the client had diabetes develop, had a below-the-knee amputation that is healing poorly,
and recently had a cerebrovascular accident that left her paralyzed on the right side. The family has
been told the client can be cared for at home if sufficient help can be obtained, or she can be placed
in a nursing home. The siblings cannot make up their minds. The nurse could be helpful by
a. making the decision for the family.
b. encouraging the client to make the decision.
c. reporting the situation to the elder abuse hotline.
d. helping the family clarify the advantages and disadvantages of each option.

Question 2

The outcome that should be established for an elderly client with delirium caused by fever and
dehydration is that the client will

a. return to a premorbid level of functioning.
b. demonstrate motor responses to noxious stimuli.
c. identify stressors negatively affecting self.
d. exert control over responses to perceptual distortions.

katheyjon · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Decision making requires accurate information and understanding of choices. The other options are
inappropriate.

Answer to Question 2

A
The desired overall outcome is that the delirious client will return to the level of functioning held
before the development of delirium. Option B is an indicator appropriate for a client whose arousal
is compromised. Option C is too nonspecific to be useful for a client with delirium. Option D is an
unrealistic indicator for a client with sensorium problems related to delirium.