An older client has decided to give up driving due to cataracts. ...

[OSWALD]

An older client has decided to give up driving due to cataracts. What assessment information is most important to collect?
 
  a. Family history of visual problems
  b. Feelings related to loss of driving
  c. Knowledge about surgical options
  d. Presence of family support

Question 2

A client has a corneal ulcer. What information provided by the client most indicates a potential barrier to home care?
 
  a. Chronic use of sleeping pills
  b. Impaired near vision
  c. Slightly shaking hands
  d. Use of contact lenses

[Sassygurl126]

Answer to Question 1

ANS: B
Loss of driving is often associated with loss of independence, as is decreasing vision. The nurse should assess how the client feels about this decision and what its impact will be. Family history and knowledge about surgical options are not related as the client has made a decision to decline surgery. Family support is also useful information, but it is most important to get the client's perspective on this change.

Answer to Question 2

ANS: A
Antibiotic eyedrops are often needed every hour for the first 24 hours for corneal ulceration. The client who uses sleeping pills may not wake up each hour or may awaken unable to perform this task. This client might need someone else to instill the eyedrops hourly. Impaired near vision and shaking hands can both make administration of eyedrops more difficult but are not the most likely barriers. Contact lenses should be discarded.