During a home visit, the nurse notes that an older patient is sitting in a poorly lit room listening to the radio
When the nurse turns on a light before starting to evaluate the patient and change a dressing on a wound, the patient says, "Oh, you don't need that light. I try to keep the lights off. Electricity is too expensive." Which response by the nurse is most appropriate?
a. "Oh, I didn't realize you were pinching pennies. I'll use my flashlight."
b. "I will turn off the light as soon as I finish changing the dressing on your wound."
c. "It sounds like it would be helpful for you to talk with the social worker who can identify financial programs that could help you."
d. "If you can't afford electricity, you may need to consider a new residence. I can set up a visit to a nice assisted living complex near here."
ANS: C
C. The case manager can relay concerns of the home-care team to the physician and obtain an order for a social service visit. Social workers help the patient with financial assistive services. A. Good lighting is important to provide safe care associated with the dressing change. B. This option does not recognize the potential financial hardship faced by the patient. D. Identifying the patient's wishes and financial options would be necessary before exploring alternative living arrangements.
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