Author Question: An 81-year-old is admitted to the hospital for congestive heart failure. The client is widowed, and ... (Read 113 times)

khang · **on:** Jul 11, 2018

An 81-year-old is admitted to the hospital for congestive heart failure. The client is widowed, and the medical staff and client are talking about the client moving to an assisted living facility.

Which of the following interventions by the nurse best creates a wellness opportunity?

A) Ask the client to explain how cares have been accomplished at home.
B) Assist the client to discuss the feelings associated with a potential move to assisted living.
C) Describe the options for long-term housing with the client.
D) Encourage the client to think positively about this move.

Question 2

A 69-year-old woman is saddened by her recent diagnosis of type 2 diabetes, which is a stressor that will make numerous demands on her life in the coming years. Which of the following actions demonstrates a problem-focused approach to this stressor?

A) Eliciting support and sympathy from her sister and neighbor
B) Obtaining diabetic cookbooks and learning to change her cooking habits
C) Seeking out a second opinion from another physician
D) Deciding to make no lifestyle changes despite her new diagnosis

medine · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Nurses promote wellness by asking older adults to talk about the meaning of life events that they have experienced. Asking about how cares have been accomplished does not assist the client. Nurses promote psychosocial wellness by encouraging older adults to express their feelings about decisions (not tell them how to feel) and help them identify effective ways of coping, even when they are not happy about the decision.

Answer to Question 2

Ans: B
Making tangible changes to address a problem, such as changing lifestyle to accommodate a new diagnosis, demonstrates a problem-focused approach to coping. Seeking support is emotion focused and seeking a second opinion is not necessarily a solution.