The nurse is providing discharge teaching for an older-adult ...

[dmcintosh]

The nurse is providing discharge teaching for an older-adult patient who will need tube feedings at home. The spouse is the only source of care and states I will not be able to perform the feedings due to arthritis.
 
  Which action should the nurse take?
  a. Obtain extra feeding supplies.
  b. Arrange for home care.
  c. Cancel the discharge.
  d. Teach the spouse.

Question 2

A nurse is assessing threats concerning the family. Which areas will the nurse include in the assessment? (Select all that apply.)
 
  a. Homelessness
  b. Domestic violence
  c. Presence of illness
  d. Changing economic status
  e. Rise of homosexual families

[cclemon1]

Answer to Question 1

ANS: B
Discharge planning with a family involves an accurate assessment of what will be needed for care at the time of discharge, along with any shortcomings in the home setting. If no one can do the feedings properly, the nurse will need to arrange for a home care service referral. Extra feeding supplies will not help the situation if the spouse cannot use them. Canceling the discharge is not an option. Teaching the spouse will not be effective since the spouse is unable to perform the feeding.

Answer to Question 2

ANS: A, B, C, D
Social scientists have identified five trends as threats facing the family. These include (1) Changing economic status, (2) homelessness, (3) domestic violence, (4) the presence of acute or chronic illness or trauma, and (5) end-of-life care. Homosexual families are not a threat facing the family; in fact, many homosexual couples now define their relationship in family terms.

[dmcintosh]

Excellent

[emsimon14]

TYSM