The older male adult dislikes the daily meal he receives from his family because it is al-ways cold. He is underweight and has a hemoglobin of 11.2 g/100 ml. Which recom-mendation should the nurse implement?
a. Assess the man for a potential transfer to an assisted living facility.
b. Meet with the man and family to problem solve.
c. Collaborate with a social worker for food stamps.
d. Ask the family about providing hot meals for him.
B
Feedback
A Incorrect. Although this can be an option, it would be premature to implement this before any other attempts to resolve the problem.
B Correct. This man is underweight and has low hemoglobin, potential signs of malnutrition. The nurse employs education and problem solving for adults who have nutritional deficiencies and live in the community and thus meets with the family and the older adult to manage the malnutrition and improve this nutri-tional status.
C Incorrect. Sources for food are not this man's problem unless the family-supplied meal is his only source of food, which the reader does not know.
D Incorrect. This can be a part of education and problem solving; still, the best chance of improving this man's malnutrition is to engage him in the plan; thus the nurse avoids contacting the family except to engage them in problem solving along with the older adult.
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