The home care nurse asks an older patient's caregiver to complete a questionnaire regarding caregiver strain. The caregiver states, "You are here to see my mom
Why do you need information about me?" Which is the most appropriate response by the nurse? 1. "We fill out this paperwork for all caregivers."
2. "We need to make sure you don't abuse your mother."
3. "It's just something that the insurance companies make us fill out."
4. "We need information about how you are dealing with caring for your mother. We don't want you to become overwhelmed."
4
Rationale: It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support. The nurse should not state that the reason is to complete paperwork.
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