Exam 6: Family Influences

The nurse working with older patients knows that which of the following items are important to most older adults as they approach the end of life? (Select all that apply. )

An 80-year-old patient with diminishing cognitive function is being discharged into the care of his 72-year-old spouse.The nurse recognizes that besides the spouse's physical ability to provide appropriate care,there is a need to evaluate the:

The nurse working with older patients understands what fact about a health care proxy?

When discussing stressors with the primary caregiver of an 83-year-old patient,the nurse explores the issue of dissolving familiar social boundaries when asking:

Adult children of a patient beginning to show early signs of cognitive decline share with the nurse that they are reluctant to discuss financial issues because the patient "was always private about money matters." The nurse responds most therapeutically when suggesting:

The nurse is helping an adult child transition into the role of full-time caregiver for an older parent with dementia.What action by the nurse is best?

An older patient who lives with family has a history of chronic alcohol abuse and poor compliance with the medical plan.The patient has begun to experience a marked decline.His family tells the nurse that these problems are a result of their inability to care for the patient properly.The nurse best responds by:

The nurse is about to discuss the possible ways to meet the physical needs of an older adult patient with the patient's adult children.The nurse guides the discussion based on which of the following American societal realities? (Select all that apply. )

The nurse working with older adults wonders why fewer of the aging patients seen in the clinic live with their adult children than in the past.What trend most likely explains this?

A nurse is working with a family that is conflicted about care arrangements for an older parent who continues to live at home in less than safe conditions.What action by the nurse is best?

The nurse works with older adults to help plan for possible in-home care needs knowing that what percentage of older adults will need this type of care during their lifetimes?

While children voice concern about their father living alone after having a mild stroke that resulted in only minimal disability,the patient angrily disagrees,stating that he's always managed on his own and can do so now.The nurse can be most helpful to this family by:

The adult child of a patient diagnosed with Alzheimer disease has shared that he feels "so sad" that he is not able to carry on a social conversation with the patient anymore because of her loss of memory.The nurse suggests:

The physical changes that occur naturally as a result of the aging process often create an autonomy versus safety issue and is most problematic when:

An adult child of a parent with mild dementia is worried about the parent driving.Where does the nurse refer the adult child to find out about safe driving courses?

An older patient with cognitive impairment is being cared for by family members.They have expressed concerns about providing appropriate care as his functional level declines.The nurse responds:

The family of an 80-year-old patient shares with the nurse that they are concerned that the patient is too frail to be living alone.The nurse's initial intervention is to:

The nurse is assessing a family caregiver for signs of role stress.Which assessment findings are consistent with this condition? (Select all that apply. )

An adult child is finalizing arrangements to provide in-home care for a dependent parent.In order to best foster the long-term wellness for both the patient and the caregiver,the nurse:

The family member caring for a dependent older patient tells the nurse that she feels his care is "so out of my control." To best assist the caregiver in achieving a sense of confidence,the nurse: