Mrs. loretta rusk, a 75-year-old client, is discharged from the hospital after suffering a cerebral vascular accident (cva, often referred to as a stroke. mrs. rusk lives with her elderly husband who is in good health. the primary healthcare provider has prescribed home health skilled nursing visits and home health aide visits 3 times per week. the home health nurse makes the first home visit to assess mrs. rusk and establish the plan of care.