An older patient has fallen and suffered a hip fracture. As a ...

[kwoodring]

An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?
 
  a. Stress that older patients usually ask for help when needed.
  b. Inform the family that placement in a nursing center is a permanent solution.
  c. Tell the family to enroll the patient in a ceramics class to maintain quality of life.
  d. Provide information and answer questions as family members make choices among care options.

Question 2

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?
 
  a. Flea bites and lice infestation
  b. Left at a grocery store
  c. Refuses to take a bath
  d. Cuts and bruises

[ecabral0]

Answer to Question 1

ANS: D
Nurses help older adults and their families by providing information and answering questions as they make choices among care options. Some older adults deny functional declines and refuse to ask for assistance with tasks that place their safety at great risk. The decision to enter a nursing center is never final, and a nursing center resident sometimes is discharged to home or to another less-acute residence. What defines quality of life varies and is unique for each person.

Answer to Question 2

ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and animal or insect infestation. Abandonment includes desertion at a hospital, nursing facility, or public location such as a shopping center. Self-neglect includes refusal or failure to provide oneself with basic necessities such as food, water, clothing, shelter, personal hygiene, medication, and safety. Physical abuse includes hitting, beating, pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures, lacerations, rope burns, and untreated injuries.