The nurse assesses a home care client who has a possible cognitive impairment. Which should the nurse implement to validate the assessment finding before planning suitable nursing care?
a. Collaborate for a psychiatric evaluation.
b. Call a social worker to assess client needs.
c. Ask family members for additional infor-mation.
d. Review how the client takes care of things at home.
D
The nurse reviews home maintenance duties with the client before planning suitable nursing care or follow-up nursing interventions for a client who has a possible cognitive impairment. After completing the client interview, the nurse compares the client assessment findings to the appear-ance of the house to evaluate the consistency of client perceptions. This information provides valuable information about client self-care abilities. The nurse does not need a psychiatric evalu-ation or a social worker yet but can include the request in follow-up nursing care. The nurse completes the client evaluation first before obtaining additional information from the family.
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