Mr. Mitchell is 88 years old. He refuses to come to meals, and ...

[fagboi]

Mr. Mitchell is 88 years old. He refuses to come to meals, and when he does, he cannot sit down long enough to eat. His daughter has commented that his clothes are hanging from his body. To improve his nutritional status, you
 
  a. Use body restraints for meals
  b. Increase his food choices
  c. Call the physician for medication to alter his behavior
  d. Provide him with sandwiches, small pieces of fruit and cheese, and spill-proof drink containers

Question 2

The major role of the nurse regarding advance directives is
 
  a. Signing as a witness of the advance directive document
  b. Ensuring that the resident is not coerced into signing
  c. Changing advance directives with the family's wishes
  d. Asking the physician to order advance directives

[AmberC1996]

Answer to Question 1

D
Restraining (response A) or medicating (response C) would not increase his nutritional intake. Offering more choices (response B) may or may not be beneficial. Carrying his food and drink with him adjusts his meals to accommodate for his behaviors and probably would be effective.

Answer to Question 2

B
The nurse must ensure that the advance directive reflects the wishes of the resident. The other choices are inappropriate because they are outside the scope of the licensed practical nurse.

[fagboi]

TYSM

[diana chang]

Excellent