The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
The Senior Citizen Center.
The Social Security Administration office.
The Adult Day Care Center.
The Women, Infant, and Children office.
The Correct Answer is A
A. The Senior Citizen Center: The Senior Citizen Center is a resource that offers a variety of services to older adults, including social activities, meal programs, and support services. Given the client's recent weight loss and living alone, referring them to the Senior Citizen Center could provide access to resources and support that might help address potential underlying issues such as social isolation or inadequate nutrition.
B. The Social Security Administration office: The Social Security Administration (SSA) office handles matters related to social security benefits, such as retirement, disability, and survivor benefits. While important, it does not provide the kind of immediate support and services related to the client's weight loss and daily needs.
C. The Adult Day Care Center: The Adult Day Care Center provides daytime care and activities for older adults who need supervision or assistance during the day. Since the client drives and lives alone, this may not be the most appropriate referral unless there are additional concerns about daily supervision or care needs.
D. The Women, Infant, and Children (WIC) office: The WIC program provides nutrition assistance to low-income pregnant women, new mothers, and young children. It is not relevant for older adults, so this would not be the appropriate agency for addressing the client’s needs related to weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Suicide discussion is dangerous with people with depression:
Discussing suicide with individuals who have depression is not inherently dangerous and can actually be an essential part of the assessment and intervention process. Open discussions about suicidal thoughts can help in identifying those at risk and connecting them with appropriate help.
B) The majority of suicides occur in lower socioeconomic groups:
While socioeconomic factors can influence suicide risk, stating that the majority of suicides occur in lower socioeconomic groups oversimplifies the issue. Suicide affects individuals across all socioeconomic levels, and risk factors are more complex and multifaceted.
C) Social support systems ensure suicide prevention:
While strong social support systems are crucial in reducing suicide risk, they do not guarantee prevention. Other factors such as mental health conditions, personal crises, and substance abuse also play significant roles in suicide risk. Social support is one component of a broader strategy for prevention.
D) Severe life stresses at any age is a risk factor for suicide:
Severe life stresses, including major life events and ongoing personal crises, are well-established risk factors for suicide across all age groups. Recognizing and addressing these stressors is critical in suicide prevention efforts, as they can significantly impact an individual's mental health and increase the risk of suicidal behavior.
Correct Answer is ["A","C","D"]
Explanation
A. Encourage smoking cessation:
Smoking during pregnancy can have serious consequences for both the mother and the fetus, such as increased risks of preterm birth, low birth weight, and developmental issues. Encouraging smoking cessation is crucial for improving both maternal and fetal health.
B. Arrange for childcare:
While childcare is an important consideration, it is not an immediate priority at this stage. The focus should be on ensuring the adolescent receives proper prenatal care and support for her health and the health of the baby.
C. Offer nutritional instruction:
Good nutrition is vital for a healthy pregnancy. Offering nutritional instruction helps the adolescent understand how to meet her dietary needs and those of her developing baby, contributing to better pregnancy outcomes.
D. Refer for prenatal care:
Prenatal care is essential for monitoring the health of both the mother and the fetus, providing necessary medical interventions, and offering support. Referring the adolescent for prenatal care is critical for addressing her medical needs throughout her pregnancy.
E. Teach breastfeeding methods:
While teaching breastfeeding methods is important, it is not the most immediate concern. This can be addressed later in the pregnancy or closer to delivery when the adolescent is more prepared to consider breastfeeding.
F.Notify her parents:
Unless the adolescent gives explicit consent or there are concerns for her safety or the safety of the baby, the nurse should maintain confidentiality. In many cases, the decision to notify parents is complex and requires careful consideration of the adolescent's autonomy and legal rights.
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