A patient, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a day care facility on weekdays. The family cares for her during the evening and at night
Noting the patient had several bruises, the nurse discussed her observations with the daughter, who became defensive and said that her mother was very difficult to manage because she is confused and wanders all night. She says the bruises resulted from a fall down stairs. The daughter states, "I have lost my mother, and I cannot bear it anymore. It is wrecking my family.". The nursing intervention that should take priority is: a. teaching the daughter more about the effects of Alzheimer's disease.
b. identifying two options for caregiver respite and care assistance at night.
c. supporting the daughter to grieve the loss of her mother's ability to function.
d. teaching the family how to give physical care more effectively and efficiently.
B
The patient's daughter and her family were coping with care until the patient began to wander more at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. They would benefit from periodic respite from the demands of caregiving in order to reduce distress within the family. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may be accomplished thereafter.
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The nurse is caring for a client who denies having pain. The nurse notices the client grimacing and clenching his teeth when moving
The client's spouse has asked the nurse why some people deny obvious pain. Which response by the nurse is most appropriate? 1. "You should try to find out why your husband is denying the pain." 2. "Have you talked to the healthcare provider about this?" 3. "Some people feel reporting their pain is a sign of weakness." 4. "Maybe we are wrong and pain is not really bad."
The emergency department nurse can receive assistance in dealing with a victim of poisoning by calling the:
a. American Red Cross. b. fire department paramedics. c. poison control center. d. civil defense office.
Speech therapy goals include minimizing speech disorders and maximizing rehabilitation of speech abilities. To be reimbursed by Medicare, these services must be provided by a:
a. bachelor's-level clinician. b. speech therapist. c. master's-level clinician. d. physiatrist.
A nurse working in a community pediatric clinic explains the process of toilet training to mothers of toddlers. Which of the following is a recommended guideline for initiating this training?
A) The child should be able to hold urine for 4 hours. B) The child should be between 18 and 24 months old. C) The child should be able to communicate the need to void. D) The child does not need to desire to gain control of voiding.