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Zorluk: OrtaSelf-Care

A community health nurse is developing a comprehensive self-care and health maintenance plan for an 84-year-old client with mild cognitive decline who lives with family. Which actions by the nurse are appropriate? Select all that apply.

  1. Organize the client's daily grooming supplies in a consistent, visible location.Cevap
  2. Allow the client extra time to complete bathing tasks independently.Cevap
  3. Implement the use of a large-print, color-coded pill organizer for daily medications.Cevap
  4. D
    Delegate the initial evaluation of the client's transfer safety to the unlicensed assistive personnel (UAP).
  5. E
    Inform the family that the client's sudden onset of severe confusion is a normal physiological change of aging.
  6. F
    Discontinue primary prevention strategies, such as immunizations, due to the client's advanced age.

Cevap

The nurse should organize grooming supplies in a consistent location, allow extra time for independent bathing, and implement a large-print, color-coded pill organizer.
The correct interventions focus on maximizing the client's remaining capabilities and adapting the environment to support independence. Organizing grooming supplies in a consistent location and using a color-coded pill organizer compensate for mild cognitive decline by simplifying tasks. Furthermore, allowing the client extra time to complete bathing independently prevents premature dependence and preserves their functional status.

Adım Adım Çözüm

1
Analyze the client's profile and the goal of care.
The client is 84 years old with mild cognitive decline, and the goal is to promote self-care and health maintenance.
Understanding the client's baseline and goals directs appropriate nursing interventions.
2
Evaluate each proposed intervention for safety, appropriateness, and promotion of independence.
Environmental consistency, adaptive devices, and allowing extra time directly support self-care. Conversely, sudden confusion requires medical evaluation, initial assessments cannot be delegated, and vaccines are still necessary.
Nursing actions must align with evidence-based practice, proper delegation rules, and gerontological standards.

Anahtar Kavram

Promoting self-care and independence in older adults requires adaptive strategies while maintaining safety, accurate assessment of acute changes, and proper delegation.
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