The nurse's evaluation of the outcomes of care for an older adult mentally ill client should be guided by the knowledge that:
1. Cultural preferences that conflict with treatment goals take precedence.
2. Complete absence of psychiatric symptoms is the gold standard.
3. Client's values and preferences should be honored whenever possible.
4. Families and significant others are not routinely involved in this process.
3
Rationale: The client's values and preferences, particularly in later stages of life should be honored whenever possible to empower the client in the face of other losses. Some cultural preferences may directly conflict with treatment goals; therefore, risks should be weighed carefully before honoring those requests. The complete elimination of psychiatric symptoms is not realistic particularly with chronic mental illness. Families and significant others should always be invited to participate in evaluation of care.
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