A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patient's care for 6 years. The spouse says, "I don't need much sleep anymore
I might need to help him during the night." Select the nurse's most therapeutic response.
a. "It sounds like you are very devoted to your spouse."
b. "I noticed you fell asleep while I was assessing your spouse. I'm concerned about you."
c. "Your spouse is lucky to have you to provide care rather than being placed in a nursing home."
d. "If you keep going like this, your health will be impaired also. Then who will take care of both of you?"
ANS: B
Sleep deprivation can cause accidents. The correct answer makes an observation, gives important information about safety, and communicates care and compassion for the spouse. The distracters do not invite further dialogue with the spouse.
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