The nurse manages the care of older adults in an adult health day ...

[CBme]

The nurse manages the care of older adults in an adult health day care center. Which action can the nurse delegate to unlicensed assistive personnel (UAP)?
 
  a. Obtain information about food and medication allergies from patients.
  b. Take blood pressures daily and document in individual patient records.
  c. Choose social activities based on the individual patient needs and desires.
  d. Teach family members how to cope with patients who are cognitively impaired.

Question 2

An older adult patient presents with a broken arm and visible scattered bruises healing at different stages. Which action should the nurse take first?
 
  a. Notify an elder protective services agency about the possible abuse.
  b. Make a referral for a home assessment visit by the home health nurse.
  c. Have the family member stay in the waiting area while the patient is assessed.
  d. Ask the patient how the injury occurred and observe the family member's reaction.

[dmurph1496]

Answer to Question 1

ANS: B
Measurement and documentation of vital signs are included in UAP education and scope of practice. Obtaining patient health history, planning activities based on the patient assessment, and patient education are all actions that require critical thinking and will be done by the registered nurse.

Answer to Question 2

ANS: C
The initial action should be assessment and interviewing of the patient. The patient should be interviewed alone because the patient will be unlikely to give accurate information if the abuser is present. If abuse is occurring, the patient should not be discharged home for a later assessment by a home health nurse. The nurse needs to collect and document data before notifying the elder protective services agency.

[CBme]

Correct answers!

[dmurph1496]

Great! Please up vote