What factor may negatively impact an older adult client's adjustment when discharged to a family member's home?

The adjustment of an older adult client to being discharged to a family member's home can be significantly impacted by the dynamics of control and autonomy. When family members insist on maintaining financial control over the client, it may create an environment where the older adult feels a loss of independence and personal agency. This can lead to feelings of resentment, frustration, and anxiety, hindering the client's ability to adapt positively to their new living situation.

Maintaining financial control often implies that the older adult may not have the freedom to make choices that affect their day-to-day life, which can be demoralizing and may affect their overall well-being. In contrast, supportive family dynamics, like providing emotional support or creating a comfortable living space, typically facilitate a smoother transition and enhance the quality of life for the individual. Strict dietary guidelines, while they may pose a challenge, do not inherently undermine a client’s autonomy in the same way that financial control can. Therefore, the insistence on financial control stands out as a factor that can negatively impact the client's adjustment.