The nursing home staff needs assistance to properly feed the residents who need assis-tance with feeding. Which should the nurse implement to ensure the residents are fed properly?
a. Instruct the feeding assistants to feed four people at a time.
b. Draw on the availability of family members who are able to follow instructions.
c. Ask some residents to self-feed for part of the mealtime.
d. Assign a small group of nursing assistants to do the feeding.
B
Feedback
A Incorrect. The nurse avoids assigning more than three residents to the assistants for feeding; four residents are too many to assist safely.
B Correct. With adequate training and cooperation, the nurse allows family mem-bers to feed residents who need assistance with feeding. While the family is as-sisting with feeding, the nurse supervises the feeding, offers feedback to family members if necessary, and evaluates the outcome.
C Incorrect. If a resident needs assistance with feeding, it can be dangerous, humi-liating, and frustrating for a resident to attempt self-feeding.
D Incorrect. If a small group of assistants performs all of the feeding, then the res-idents will potentially have to wait for long periods before being fed. Since the time required to implement feeding assistance is 38 minutes, a lengthy delay can result in adverse effects or injury for the resident and increase the risk of errors for the assistants and lead to frustration with the residents.
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