Question

The nurse is caring for an older adult in an assisted care facility. What information about the older adult client should the nurse consider when caring for this population of clients? Select all that apply.

A. Some clients with dementia may experience sundowning syndrome and safety is a priority.
B. Delirium experienced by a client is a permanent state of confusion.
C. Observe for symptoms of depression since many clients go undiagnosed.
D. All older adults experience delirium when they are hospitalized.
E. Medication should be closely monitored for polypharmacy. A significant percentage of older adults limit their activities because of fear of falling that might result in serious health consequences.

Answer 1

When caring for older adult clients in an assisted care facility, the nurse should consider the potential for sundowning syndrome in those with dementia, undiagnosed depression, the risk of polypharmacy, and the fear of falling. These factors play a crucial role in providing safe and effective care.

Step-by-step explanation:

When caring for older adult clients in an assisted care facility, the nurse should consider several important factors:

1. Some clients with dementia may experience sundowning syndrome and safety is a priority. Sundowning syndrome is a condition where individuals with dementia become restless and agitated in the late afternoon or evening. The nurse should implement safety measures to prevent accidents and provide a calm environment.
2. Observe for symptoms of depression since many clients go undiagnosed. Depression is common among older adults, but it often goes undiagnosed. The nurse should be vigilant in assessing for signs of depression and provide appropriate support and referrals for further evaluation.
3. Medication should be closely monitored for polypharmacy. Polypharmacy is the use of multiple medications, which can increase the risk of adverse drug interactions and side effects in older adults. The nurse should closely monitor medication regimens and ensure appropriate prescribing.
4. A significant percentage of older adults limit their activities because of fear of falling that might result in serious health consequences. Fear of falling is a common concern among older adults, and it can lead to limited activity and decreased quality of life. The nurse should address this fear and implement fall prevention strategies to promote mobility and independence.