A home health nurse visits a client who has a history of alcoholism and dementia. The client's words are incoherent, and the client's clothes are filthy. The client is unsteady and leaning to the right, and the room in the rooming house is in disarray
The only word that the nurse can clearly identify is "no." Which action by the nurse is most appropriate at this time?
A) Ask the neighbors what has been happening.
B) Call emergency services for transport to a hospital.
C) Leave and return later.
D) Search the room for empty bottles.
Ans: B
Victims of self-neglect are likely to have the following characteristics: older age; chronic illness; functional limitations; solo living arrangements; social isolation; inadequate economic resources; and dementia, mental illness, substance abuse, or hoarding behaviors. If the elder is incapable of deciding whether to accept or reject emergency services, then these services should be provided.
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