An elderly client recognizes the need for help with personal care at home yet does not want to move to a nursing home or assisted living facility. Which of the following can the nurse do to assist this client?
1. Suggest the client move in with adult children
2. Remind the client that physical strength will grow weaker at home until a nursing home is required
3. Recommend a personal care assistant to help with activities of daily living and self-care
4. Discuss with the physician and determine the client is unable to make decisions and must be admitted to a nursing home immediately
3. Recommend a personal care assistant to help with activities of daily living and self-care
Rationale:
The nurse needs to help strengthen the client's self-esteem. To best do this, the nurse should recommend a personal care assistant to help with activities of daily living and self-care. Suggesting the client move in with children or be admitted to a nursing home does not strengthen the client's feelings of self-worth or a healthy self-concept. Having the physician determine the client is unable to make decisions and admit the client to a nursing home is inappropriate and should not be done.
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