A nurse is making the first home visit to a recently discharged elderly client. Which of the following should the nurse most likely expect to find?
a. A client who is unhappy with the disorganization of the house
b. A client who will expect the nurse to do everything now that the nurse is at his or her house
c. A client who may well have hearing or vision problems or both
d. A client who is upset with being discharged while still so ill and having to take on problems at home
ANS: C
Visual and hearing impairment are among the most common age-related conditions affecting the elderly population. The prevalence of vision impairment in individuals over the age of 65 years is: 17% of individuals 65 to 74 report some form of vision impairment and 26% of individuals over the age of 75 report some form of vision impairment. A study by physicians at Johns Hopkins University in Baltimore, MD, found hearing loss prevalence in patients 70 years and older to be 60%. Thus, the nurse should be anticipating the needs of the client rather than being concerned about the potential factors that the client may be upset about.
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