The son and daughter of an 80-year-old woman have expressed concern to the nurse that their mother has become impatient and irritable since her stroke earlier in the year. How should the nurse best respond to the children's concerns?
A) "There is a new generation of medications that can help control outbursts with very few side effects.".
B) "This could be a sign that your mother is still experiencing transient ischemic attacks, so I will make sure to let her physician know.".
C) "This is not an uncommon consequence of a stroke that must be difficult for you to see, since it is uncharacteristic of her personality.".
D) "This is likely a temporarily response to the difficult changes that a stroke causes, and these behaviors will likely diminish with time.".
C
Feedback:
Neurologic illnesses are often accompanied by profound and uncharacteristic behavioral changes, requiring understanding and patience. It would be inappropriate to direct the family toward medications or to tell the family that the changes will resolve. Such changes are not necessarily indicative of transient ischemic attacks.
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