A nurse providing hospice care for an older adult client. The ...

[LaDunn]

A nurse providing hospice care for an older adult client. The nurse is approached by the client's adult child. The adult child believes that her other parent, who is in a nursing home, is being neglected.
 
  What suggestions can the nurse offer in this situation?
  Select all that apply.
  A) Contact the client advocate at the nursing facility.
  B) Contact the local newspaper.
  C) Encourage the daughter to immediately place her mother in a different facility.
  D) Contact the consumer protection agency.
  E) Report suspicions to the licensing agency.

Question 2

The nurse is assessing an older adult client in the free clinic. The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit. The nurse assesses the client for possible causes for this inc
 
  After determining that the client has not changed dietary and exercise habits, which conclusion by the nurse is the most appropriate?
  A) The client has increased egg consumption.
  B) The client may not be taking medications as prescribed.
  C) The client needs more aerobic activity.
  D) The client may be experiencing high triglyceride levels.

[milbourne11]

Answer to Question 1

Answer: A, E

Many large agencies have client advocates who can help ensure that client rights are maintained. It is important to consider institutionalized remedies before taking extraordinary action. Transferring clients in long-term facilities is often very difficult. The consumer protection agency is not usually involved in nursing home issues. Nursing homes, homes for the aged, and licensed facilities for the disabled are regulated at the state level, and violations committed by these agencies may be reported for investigation.

Answer to Question 2

Answer: B

Many older adults do not take their medications as prescribed in order to reduce costs. This phenomenon is referred to as rationing care. Many older adults cannot afford the co-pays on their medications, so they reduce their dosages to defray the costs. The nurse should be aware of this practice and assist the client to obtain the needed medications. The client has already stated that diet and exercise have not been changed. Triglycerides and cholesterol are different entities.