The nurse received the change-of-shift report on a 74-year-old woman admitted for depression. She has aphasia from a recent stroke and communicates minimally by using pencil and paper
Her college-age grandson moved in with her to help with meals and household chores and a home health aide provides daily assistance with ADLs and medications. For the past week, she has refused to bathe, eats poorly, and has stopped writing. Which of the following statements best demonstrates that the nurse has the ability to plan holistic care for this client? 1. The client's psychobiologic health, rehabilitation, self-care potential, and discharge arrangements are interrelated.
2. Reliance on the grandson and home health aide have decreased her feelings of self-worth and caused this episode of depression.
3. The client's quality of life and prognosis are primarily related to her aphasia and inability to communicate.
4. Sudden life changes, such as a stroke, usually lead to depression in older clients.
1
Rationale: A holistic assessment of a client accounts for the interrelated effects of the client's social and cultural environment as well as psychobiological health. Nurses must not assume they understand the meaning that symptoms have to the client's quality of life, capacity to improve, or need for independence. While life changes at any age may lead to altered emotional responses, the nurse must seek to identify the meanings of events in order to plan effectively.
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