Which of the following statements is true about caregiving?
a. Dementia in an older adult can cause grief in the caregiver, comparable with the grief from the older adult's death.
b. Middle-aged adults and older parents re-verse life-long caregiving roles with in-creasing age.
c. Older adults should relocate to the care-giver's home when long distances separate the two.
d. Increasing numbers of adult children who are developmentally disabled become ca-regivers for their older parents.
A
As the dementia progresses, the patient may cease to recognize a spouse or child. The parent still remains the parent, and the idea that the parent somehow becomes a child again is demeaning. The older person may have significant support in the community where he or she lives. Older parents often remain the caregivers for disabled children, which is a serious burden.
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A 77-year-old male client with a diagnosis of stomach cancer has been found to have metastases in his liver. The client and his family are surprised at this turn of events, stating that they do not see how he could have developed cancer in his liver
Which of the following facts would underlie the reply that the care team provides? A) The parenchymal tissue of the liver is particularly susceptible to secondary malignancies. B) The portal circulatory system brings venous blood from the GI tract into the liver. C) Hepatic stromal tissue shares characteristics with cancerous cells, including lack of anchorage dependence. D) The proximity of the liver to the stomach allows for direct spread of cancerous cells due to a lack of contact inhibition.
To plan effective nursing care for a client with somatization disorder, the nurse should be aware that
the etiology of somatoform disorders may be related to a. faulty perceptions and assessments of body sensations. b. traumatic memories of childhood events. c. culture-bound phenomena. d. depressive equivalents.
The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain. This would be an example of:
1. alternate pain control methods. 2. coping with a chronic condition. 3. a social coping mechanism. 4. maladaptive coping.
During which phase of the home visit process would it be appropriate for the nurse to review the home visit with the family?
a. Initiation b. In-home c. Termination d. Post-visit