An older woman is resisting her son's help to make her money last ...

[michelleunicorn]

An older woman is resisting her son's help to make her money last longer. He wants to have her declared incapacitated so he can manage her finances. Which nursing assessment can be used by the court to declare incapacitation?
 
  a. Prepares very few meals and avoids cleaning the house.
  b. Ambulates around her local community without difficulty.
  c. Balances her checkbook weekly and pays her bills on time.
  d. Resists medical advice to remove a stage I malignant tumor.

Question 2

The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY) tool to plan an exercise program for a female resident who is in good health except that her height decreased half an inch.
 
  Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care? a. Do not exercise a red, warm, or swollen joint.
  b. Avoid stretches that cause you to bend the waist.
  c. Evaluate your surroundings for outdoor exercising.
  d. Begin by warming up with low to moderate exercises.

[isabelt_18]

Answer to Question 1

D
Refusing surgery to remove a malignant tumor at an early stage after receiving medical advice to do so can indicate impaired cognitive functioning; early treatment offers the best chance for a cure.
Preparing few meals and avoiding cleaning the house may be potential evidence of not understanding the consequences of her actions and may be potential evidence of impaired capac-ity to make medical decisions. If the aspects of daily living are not important to her, then ambu-lating around her local community without difficulty does not reflect impaired capacity. Balanc-ing her checkbook weekly and paying her bills on time, which are indications that she is manag-ing her finances, are evidence of intact capacity; functional status is irrelevant in a capacity hearing.

Answer to Question 2

B

Feedback
A Incorrect. Red, warm, swollen joints are usually due to gout or rheumatoid arth-ritis, and the resident does not have these health problems. This is a good rec-ommendation for anyone who exercises.
B Correct. The nurse needs more information because the resident's height de-creased, and the nurse does not know why this happened. Thus, to obtain the information, the nurse decides to complete a resident assessment before planning an exercise program. The shrinkage can be due to atrophy of intervertebral discs, compression fractures, or changes in the curvature of the spine, any of which can be aggravated by exercising incorrectly. With a complete assessment, the nurse can plan a suitable exercise program for the resident.
C Incorrect. Evaluating an individual's surroundings when exercising does not alert the nurse who is considering an exercise plan for this resident; this is a good, general recommendation for anyone who exercises.
D Incorrect. This is a good recommendation for anyone who exercises.