Author Question: A nurse discusses the future with an older adult who has had surgery for a fractured hip and is also ... (Read 71 times)

mmm · **on:** Jul 11, 2018

A nurse discusses the future with an older adult who has had surgery for a fractured hip and is also diagnosed as having depression. The client wavers between wanting to give up and going to rehabilitation.

Which of the following questions should the nurse ask to assist the client toward values clarification?

A) Which pain medication works best for you?
B) How can we best assist you with your activities of daily living?
C) Do you prefer to bath in the morning or in the evening?
D) What goals do you have for the next year?

Question 2

A nurse in the long-term care facility plans a meeting to assist an older adult and family discuss end-of-life care options. Which of the following interventions is appropriate for the nurse to include in preparation for this event? (Select all that apply

A) Assist the older adult to his or her wear hearing aid.
B) Assure that the older adult is well rested.
C) Obtain a private meeting room.
D) Premedicate the older adult with Ativan (lorazepam).
E) Schedule the meeting after a meal.

emsimon14 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
In holistic nursing ethics, the process of values clarification can be used to guide nurses. Values clarification is an ongoing process in which an individual becomes increasingly aware of what is important and justand why. The nurse can facilitate this process for clients by listing several health behaviors or values, such as health, happiness, independence, and good relationships, and ask clients to rank them or identify how they incorporate them into their lives why.

Answer to Question 2

Ans: A, B, C
An important role of nurses is to promote optimal decision-making capacity by identifying and addressing the factors that influence cognitive functioning and is within the realm of nursing responsibilities (such as wearing hearing aid and being rested). Benzodiazepines and overstimulation (such as after a meal) can interfere with the older adult's capacity.