A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Inform the client's partner that they will be unable to care for the client

Consult case management

Obtain referral for occupational therapy services

Facilitate the client’s discharge to home

Answer and Explanation

The Correct Answer is B

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Correct Answer is C

Explanation

A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.

A. Has limited vision at night when out of the home B. Is bedridden and requires assistance to get into a wheelchair C. Lives alone in a private residence with children about 5 miles away D. Would require a taxing effort to leave the home for a prescribed event

Correct Answer is D

Explanation

A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.

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A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

Correct Answer is C

Explanation

The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?

Correct Answer is D

Explanation

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