A home health nurse visits a patient with moderate Alzheimer's disease who lives at home with the spouse. To meet the needs of the spouse, the nurse suggests which action?
1. Finding respite care to come into the home several days a week
2. Making arrangements for the patient to visit the local senior citizens' center in the afternoon
3. Providing the patient with a list of daily activities to complete
4. Finding placement in a long-term care facility
1
Rationale 1: Patients with moderate Alzheimer's disease generally are more confused, may demonstrate repetitive behavior, are less able to make simple decisions and adapt to environmental changes, and are often unable to carry out activities of daily living. The spouse needs opportunities for breaks from the demands of the patient's care.
Rationale 2: An outing would be better suited for the patient with mild Alzheimer's disease.
Rationale 3: A list of activities would be better suited for the patient with mild Alzheimer's disease.
Rationale 4: Recommending placement in long-term care might be premature and is not up to the nurse.
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