A 83-year-old client has entered a nursing home, where the client will reside until death. Until age 70, the client worked as a successful bank president and was an active community leader. When intervening with the client, the nurse would be especially alert for feelings related to which aspect of life?
Dependency
Mortality
Family
Unemployment
The Correct Answer is A
A. Dependency:
This client, who was once a successful bank president and active community leader, may struggle with the loss of independence and the need to rely on others for daily care. Feelings of dependency can be particularly challenging for individuals who were once highly independent and influential.
B. Mortality:
Mortality is a universal concern for individuals, especially as they age, but it is not specifically tied to the client's previous occupation or lifestyle before entering the nursing home.
C. Family:
Although family is important, the scenario does not specifically indicate any issues or changes related to family dynamics that would be the primary focus. The primary concern would be the client’s adjustment to the new living situation and the associated loss of independence.
D. Unemployment:
Unemployment is not relevant in this context, as the client has been retired since age 70.
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Related Questions
Correct Answer is B
Explanation
A. Counsel to discuss financial situation with the health care provider: This option is reasonable as discussing financial concerns with the healthcare provider can lead to insights into available resources, assistance programs, or alternative care options. However, the healthcare provider may not have specific knowledge about financial assistance programs or community resources.
B. Refer to social services to explore support available: This is the most appropriate choice. Social services departments within hospitals typically have staff who specialize in helping patients and families navigate financial issues, including identifying available support programs, assistance with insurance coverage, and connecting them with community resources that can help alleviate financial burdens related to healthcare.
C. Discuss selling assets: While selling assets might be a consideration in some situations, it should not be the first option discussed without exploring other avenues for financial assistance or support. It's important to consider the implications of asset liquidation and to explore other options first.
D. Reassure the family that the facility will absorb the costs: It is unlikely that the facility will absorb all costs, especially if the family does not have adequate insurance coverage. It is essential to provide accurate information and explore available resources rather than offering false reassurance.
Correct Answer is B
Explanation
A. Request volunteers for the ethics committee: While having a diverse representation on the ethics committee is important, it may not directly address the need for cultural competence among the nursing staff.
B. Develop nurses' cultural competence: This choice directly addresses the need to prepare nurses for providing care to a more diverse population of older adults. Cultural competence training helps nurses understand and respect the cultural backgrounds of their patients, improving communication and the quality of care.
C. Teach nurses about a variety of religious practices: While understanding religious practices is part of cultural competence, focusing solely on religion may not adequately prepare nurses for the broader spectrum of cultural diversity they may encounter in caring for older adults.
D. Recruit multilingual nurses: While having multilingual nurses can be beneficial for communication, it may not fully address the need for cultural competence. Additionally, recruitment efforts alone may not provide a timely solution to the immediate need for providing culturally competent care to a more diverse population of older adults.
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