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Chapter 9: Problem 250

Mrs. T. is an 80-year-old client admitted to your nursing unit with a diagnosis of weakness, status post fall. The admission face sheet indicates that she is widowed, and lives alone. As you work through your nursing admission assessment, which of the following would be the least priority concern? 1\. Ask Mrs. T. about the details of her fall. 2\. Does Mrs. like to read? 3\. Ask Mrs. T about her ability to shop and cook for herself. 4\. What medications has she been taking?

Short Answer

Expert verified
The least priority concern is option 2: 'Does Mrs. T. like to read?'.

Step by step solution

01

Identify the Options

First, understand each of the provided options. These are the questions you can ask Mrs. T to gather additional information concerning her recent fall and current situation.
02

Assess the Relevance to Health and Safety

Evaluate each option based on its direct relevance to Mrs. T's health and immediate safety after her fall. Prioritize factors that significantly impact her physical health and safety.
03

Least Priority Related to Immediate Care

Determine which option is the least relevant to Mrs. T's immediate care and safety needs. Consider whether each question would influence urgent healthcare decisions or patient outcomes.
04

Identify the Least Priority

Compare the potential impact of each question: - Details of the fall would provide crucial information for understanding the cause and preventing future incidents. - Ability to shop and cook relates to her independence and immediate care needs. - Medication review is essential to ensure no drug interactions or errors. - While Mrs. T.'s interest in reading can be relevant for her well-being, it's less critical in the context of addressing immediate health or safety issues after her fall.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Patient Safety
Patient safety is a fundamental aspect of nursing care. Ensuring safety means addressing all factors that could pose a risk to the patient鈥檚 well-being. In the case of Mrs. T, an 80-year-old patient admitted after a fall, it is crucial to evaluate all aspects that directly impact her safety. This involves
  • Assessing the details of her fall: Understanding how and why the fall occurred can help in identifying underlying health issues or environmental hazards that need to be addressed to prevent future incidents.
  • Reviewing her medications: Checking for any drug interactions, side effects, or errors is critical in avoiding adverse effects that could compromise her safety.
  • Evaluating her ability to shop and cook: This assesses her independence and whether she requires additional support to meet her nutritional needs, which is essential for her recovery and safety.
While understanding her interests, such as reading, is beneficial for her mental well-being, it does not directly affect her immediate physical safety. The focus should be on issues that prevent further harm or complications.
Nursing Care Plan
A nursing care plan is a systematic approach to providing patient-centered care. It involves creating a detailed plan that considers all aspects of a patient鈥檚 health and needs. For a patient like Mrs. T:
  • Assessing and documenting details of her fall and subsequent injuries are crucial first steps. This information informs the nursing diagnosis and planning stages.
  • Creating a comprehensive plan should also include a review of her current medications to prevent any contraindications with her treatment regimen.
  • Addressing her living situation and daily activities, such as her ability to shop and cook, allows the nurse to tailor care that supports her independence while ensuring safety.
The core of a nursing care plan lies in assessing both physical and psychosocial aspects of a patient鈥檚 life. While interests like reading can enrich a patient's daily life and mental health, they are generally assessed once immediate safety and health concerns have been addressed.
Geriatric Nursing
Geriatric nursing focuses on the comprehensive care and unique needs of elderly patients. With age, patients like Mrs. T face increased health risks, especially after incidents such as falls. Key aspects of geriatric nursing include:
  • Holistic assessment: This involves looking at both the physical and mental health of the elderly, considering any age-related changes that might influence her recovery and safety.
  • Promoting independence while ensuring safety: Assessing daily living activities like shopping and cooking informs on what support she might need to maintain her independence.
  • Close monitoring of medications: Elderly patients often take multiple medications, increasing the risk of interactions. Regular reviews prevent adverse effects.
Geriatric nursing goes beyond just addressing immediate physical injuries. It includes understanding the wider context of the patient鈥檚 living conditions and mental health to provide comprehensive and compassionate care. Interests like reading can be crucial for emotional well-being, but in the geriatric context, they follow after urgent health issues are addressed.

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Most popular questions from this chapter

A nurse's appropriate priority setting is initially contingent upon which step of the nursing process? 1\. assessment 2\. planning 3\. intervention 4\. evaluation

To force treatment on a patient without their consent could result in a charge of: 1\. battery-offensive touching. 2\. slander. 3\. defamation. 4\. perjury.

A client with a diagnosis of schizophrenia is being discharged from an acute psychiatric hospital to the parent's home. Discharge plans include a day care program at the acute care hospital while the parents are at work. The father asks "I do not understand why the day care program was not used first. Why was my child hospitalized at all?" The nurse's best response would be: 1\. "The hospitalization was to help you understand how sick you child is. Many people have difficulty understanding that mental illness is serious." 2\. "The hospital provided a secure environment for you child to stabilize and for you to make the necessary preparations in the home." 3\. "Your insurance covered the hospitalization so that is where you child was placed." 4\. "Having your child in the hospital provided the staff time to teach you how to provide the necessary care at home."

Mr. Davis, an 80 year old, is being discharged from the hospital with a new diagnosis of lung cancer. The adult children have made arrangements for him to live with his youngest son. To promote optimal continuity of care, the nurse should: 1\. immediately arrange for hospice care. 2\. convince the family that institutionalized care would be better. 3\. assist with the discharge as planned. 4\. explore options for community health services with the family.

After giving birth, Mrs. Barber expresses concern that her baby daughter has "stork bites" (reddened areas at the nape of the neck). What should the nurse tell her about these skin lesions? 1\. They are normal and disappear as the skin thickens. 2\. They are a sign of a common congenital anomaly. 3\. They result from trauma during delivery. 4\. They result from blocked apocrine glands.
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