An elderly client who has had a stroke is ready for hospital discharge. How should the gerontological nurse case manager support this client's independence?
1. Allow the client to be actively involved in all decisions made.
2. Make arrangements based on what the nurse feels is in the best interest of the client.
3. Work closely with the social worker and physician to make the decisions necessary for the client.
4. Set up a meeting with the family members so decisions can be made.
Correct Answer: 1
Rationale 1: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. Most elders are willing to listen to suggestions and advice, but they do not want to be ordered around. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 2: Nurses need to acknowledge the older client's ability to think, reason, and make decisions. This option does not reflect an understanding of the client's right to autonomy.
Rationale 3: This option does not reflect an understanding of the client's right to autonomy. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
Rationale 4: This option does not reflect an understanding of the client's right to autonomy. Nurses need to acknowledge the older client's ability to think, reason, and make decisions. It would be quite appropriate to include the physician or primary care provider, social worker, as well as the family in the decision-making process, but always and foremost, to include the client.
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