Examkin

Soru

Zorluk: OrtaSupport Systems

An interdisciplinary care team is planning the transition to home for a 78-year-old client who recently underwent a total hip arthroplasty. The client lives in a multi-level home with a spouse who has moderate Alzheimer's disease. Their extended family lives internationally. Which of the following interventions should the nurse recommend to ensure a safe support system? (Select all that apply.)

  1. Consult a medical social worker to explore temporary respite care or in-home assistance for the spouseCevap
  2. Facilitate a referral for home-based physical and occupational therapy servicesCevap
  3. Provide the couple with contacts for local meal delivery programs and pharmacy delivery servicesCevap
  4. D
    Direct a home health aide to perform the daily assessments of the client's surgical incision
  5. E
    Tell the client, 'Do not worry, everything will naturally work itself out once you are back in your own house'
  6. F
    Assign the spouse the responsibility of managing and administering the client's new prescription analgesics

Cevap

The correct interventions are consulting a medical social worker, facilitating home-based therapies, and arranging for meal and pharmacy deliveries.
The correct interventions holistically address the complex needs of a household where the primary functional adult (the client) is temporarily incapacitated. Consulting a medical social worker ensures the spouse with Alzheimer's receives necessary care, preventing neglect. Home-based therapies provide mandatory physical rehabilitation and home safety evaluations without requiring complex transportation logistics. Organizing meal and pharmacy deliveries directly compensates for the couple's current inability to safely manage daily household operations.

Adım Adım Çözüm

1
Analyze the client's living situation and identify potential safety risks.
The client has limited mobility post-surgery and lives with a spouse who has cognitive impairment (Alzheimer's disease), with no local family support available.
Understanding the home dynamics is necessary to determine which support systems must be activated prior to discharge.
2
Evaluate each proposed intervention for safety, legal scope of practice, and therapeutic communication principles.
Connecting the couple with community resources (meals, therapy, social work) safely addresses their deficits. Delegating assessments to an aide, relying on a cognitively impaired spouse for medication management, and giving false reassurance are unsafe or non-therapeutic actions.
Nursing interventions must remain within legal boundaries and directly address the specific psychosocial and physical challenges of the client's environment.

Anahtar Kavram

Developing a comprehensive discharge support plan that incorporates community resources, safe delegation, and therapeutic communication while compensating for caregiver cognitive deficits.
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Support Systems

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