QUESTION 1

A nurse is caring for an older adult client

Nurses Note

0945

Adult child accompanying parent reports cognitive and physical

decline in the client, expressing concern over memory loss,

thought processes, appetite, and self-care. Adult child states,

"My sibling and I hired help at home for my parent. We thought

that might help, but it has not. I found the title to the car today, signed over to me Client makes poor eye contact, speaks in a monotone voice, and

has a lack of facial expression

Client reports sleeping 7 hr a night and getting up once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 Ib in the past month.

1030:

Client found sitting in waiting room, head in hands. Client says, "Why don't you just leave me? I am of no use."

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System

Findings

Adult child accompanying parent reports decline in client, expressing concem iver memory and thought process, appetite, and self-care Adult child states. My sibling and I hired help att home for my parent We thought that would help but it has not. Chaund the title to the car

General

Physical

Cent makes poor eye contact, Speaks a manotune voice and han a lack of fam Client reports sleeping the righ getting up once or twice per night to go to the bathroom Client in the past month Heart rate 68/ma

Clers says "Why don't you just leave me tam of no use