Answer to Question 1
Correct Answer: 1
Rationale 1: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. Most elders are willing to listen to suggestions and advice, but they do not want to be ordered around. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 2: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. This option does not reflect an understanding of the client's right to autonomy.
Rationale 3: This option does not reflect an understanding of the client's right to autonomy. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 4: This option does not reflect an understanding of the client's right to autonomy. Nurses need to acknowledge the older client's ability to think, reason, and make decisions. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Answer to Question 2
Correct Answer: 2
Rationale 1: Independence established prior to the loss of a mate makes adjustment easier.
Rationale 2: Independence established prior to the loss of a mate makes adjustment easier. A person who had meaningful relationships and friendships or economic security, ongoing interests in the community or private hobbies, and a peaceful philosophy of life copes more easily with bereavement.
Rationale 3: Not participating in functions offered may indicate feelings of inadequacy or insecurity after a death has occurred.
Rationale 4: Becoming more dependent on the staff may indicate feelings of inadequacy or insecurity after a death has occurred.