15. A 78-year-old client with CHF is being discharged home where his wife, who has chronic obstructive pulmonary disease (COPD), plans to care for him. The wife indicates that the family will help. The correct action by a nurse would be to:
15. A 78-year-old client with CHF is being discharged home where his wife, who has chronic obstructive pulmonary disease (COPD), plans to care for him. The wife indicates that the family will help. The correct action by a nurse would be to:
. Recommend a nursing home placement for the couple.
. Contact a health-care practitioner to determine if the wife is able to provide care.
. Determine if the family members will help.
. Offer to make referrals for community resources to assist the couple.
Test-Taking Tip
Choose the option that supports the independence of the client and family in decisions about care.
Content Area: Geriatrics, Cardiovascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Referrals
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Answer 1 is incorrect because remaining in the home with support is a better option. Answer 2 is incorrect because this is a decision for the client and spouse to make. Answer 3 is incorrect because this casts doubt on wife's statement. Answer 4 is correct because this action supports the client and wife in this decision.