A home health nurse visits a client with Stage 2 Alzheimer disease who lives at home with a spouse. Which action by the nurse enhances the spouse's ability to meet the needs of the client?
A) Encouraging the caregiver to take rest periods and avoid fatigue
B) Providing the client a list of daily activities to complete
C) Making arrangements for the client to visit the local senior citizen center in the afternoon
D) Finding placement in a long-term care facility
Answer: A
Stage 2 clients are generally more confused, can demonstrate repetitive behavior, are less able to make simple decisions and to adapt to environmental changes, and are often unable to carry out activities of daily living. The spouse needs opportunities to have breaks from the demands of the client's care and should be encouraged to take rest periods and avoid fatigue. Because the Stage 2 client does not adapt well to changes in the environment, it would be best to have someone come into the home, rather than to have the client go out. An outing or a list of activities would be better suited for the client in Stage 1. Recommending placement in long-term care might be premature, and is not up to the nurse.
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