Final answer:
Confusion in older clients can result from various factors, and it is essential to handle such reports sensitively. The PN should reassure the family, explain potential causes for the confusion, and ensure that a full assessment will be conducted to ascertain and address any underlying health issues.
Step-by-step explanation:
If an older client suddenly reports confusion and believes that the nursing staff is "holding her hostage," it is important to approach this situation with understanding and compassion. Such confusion could be a manifestation of a medical condition or a side effect of medication, and the practical nursing (PN) staff member must reassure the family while also protecting the client's dignity and privacy.
The PN might respond, "It's not uncommon for older individuals to experience confusion, which could be due to a variety of factors such as changes in their environment, infections, medications, or other health issues. We take concerns about confusion very seriously and will evaluate the situation to understand the cause. The care team is here to support and help your loved one, and we are not holding anyone against their will."
It would also be helpful to provide an example, mentioning that sometimes clients may misinterpret their care environment due to confusion and assure the family that a thorough assessment will be conducted to address any health concerns.