A nurse is caring for a chronically confused client and family and has made the nursing diagnosis Caregiver Role Strain. Which action by the family would alert the nurse that outcomes are not being met? (Select all that apply.)

a. A support group schedule is noticed by the nurse in the spouse's pocket.
b. Children state the spouse has not seen old friends in several months.
c. The client's spouse states they cannot afford a bedside commode at home.
d. The family has arranged for mental competency testing for the client.


C, D
Appropriate outcomes for this diagnosis include (1) improved use of support services, (2) obtaining adequate equipment to provide care, (3) limited use of addictive substances for coping, (4) interaction with friends and family as desired, and (5) appropriate analysis of the client's condition. Not seeing old friends in several months needs to be investigated further; it might be significant. Not being able to afford durable equipment is certainly an issue, but the client's spouse or family should investigate resources to help pay for this equipment.

Nursing

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