Examkin

Soru

Zorluk: ZorSelf-Care

A home health registered nurse (RN) is evaluating the self-care capacity of a 68-year-old client with early-stage Alzheimer's disease and poorly controlled type 2 diabetes mellitus. The client lives with their adult child, who works outside the home during the day. The nurse is developing a management plan to promote the client's maximum independence while ensuring clinical safety. Which action represents the most appropriate integration of self-care principles for this client?

  1. Utilizing a system where the adult child pre-fills a daily medication organizer and programs an automated voice alarm to prompt the client's self-administration.Cevap
  2. B
    Reassuring the adult child that sudden, acute episodes of confusion during the day are an expected physiological part of the aging process and dementia progression.
  3. C
    Instructing the home health unlicensed assistive personnel (UAP) to evaluate the client's technique when using the blood glucose monitor during mid-day visits.
  4. D
    Teaching the client that independently performing daily visual inspections of their feet is a form of primary disease prevention.

Cevap

The most appropriate action is utilizing a system where the adult child pre-fills a daily medication organizer and programs an automated voice alarm to prompt the client's self-administration.
For a client with early-stage Alzheimer's disease, the primary nursing goal is to maximize independence while mitigating the profound safety risks associated with memory deficits. Having a cognitively intact caregiver (the adult child) manage the complex task of sorting and dosing medications, combined with a technological memory aid (the automated voice alarm) to prompt the actual administration, creates an optimal balance. This intervention allows the client to actively participate in their daily self-care routines without exposing them to the high risk of medication errors (such as missing a dose or double-dosing insulin/oral hypoglycemics).

Adım Adım Çözüm

1
Analyze the client's clinical profile and social determinants.
The client has early-stage cognitive impairment (Alzheimer's) and a complex chronic illness (diabetes), but is alone during the day.
Identifying cognitive and physical barriers is the foundational step in formulating a safe, individualized self-care plan.
2
Evaluate the proposed self-care support strategy.
Pre-filling the organizer by a competent caregiver removes the cognitive burden of medication sorting, while the alarm provides the necessary memory cue.
This strategy safely bridges the gap between the client's cognitive deficits and their need for independence in self-care.
3
Analyze the incorrect clinical judgments presented in the scenario.
Sudden confusion indicates acute delirium (a medical emergency), UAPs cannot evaluate learning, and foot inspections represent secondary/tertiary prevention.
Ruling out unsafe, improperly delegated, or clinically inaccurate interventions ensures the chosen plan meets professional nursing standards.

Anahtar Kavram

Adaptive strategies for cognitive impairment in self-care management
Tahmini Süre:1m 30s
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Self-Care

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