Author Question: Needing assistance with daily living activities, an older adult with two grown children is being ... (Read 46 times)

formula1 · **on:** Jul 23, 2018

Needing assistance with daily living activities, an older adult with two grown children is being discharged home. Although both children live nearby, the daughter is expressing concern about handling her parent's physical needs.

The nurse's initial response is to:
1. Work with the family on delegating responsibility
2. Suggest short-term nursing home placement to the client
3. Arrange for the client to remain hospitalized in the medical center
4. Make decisions for the family on how to manage the care at home

Question 2

In assessing the roles and power structure of a client's nuclear family, the nurse should specifi-cally ask the client:

1. Who decides where to go on vacation?
2. What type of health care insurance do you have?
3. How many family members currently live in your home?
4. What types of social activities do you and your family enjoy?

SAUXC · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
The nurse must consider caregiver strain and work with the family on delegating responsibility. Nursing home placement should not be the nurse's initial response to caregiver strain. Arranging for the client to remain in the medical center is not always feasible and does not address the problem of caregiver strain. It should not be the nurse's initial response in this situation. The nurse should not make decisions for the family, but rather work with the family to problem solve.

Answer to Question 2

ANS: 1
Asking, Who decides where to go on vacation? enables the nurse to determine the power structure and patterning of roles and tasks of the family. Asking about health insurance does not assess the roles and power structure of the family. Inquiring about family members living at home may be used to help determine family form, not the power structure and roles of the family. Asking about social activities may provide information on the interactive processes of the family and how time is spent, but it does not assess the roles and power structure of the family.