A client, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a

Question

day care facility on weekdays. The family cares for her during the evening and at night.

Noting the
client 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. The bruises resulted from a fall down stairs. The daughter states "I have lost my
mother.". The nursing intervention that should take priority is
a. teaching the daughter more about the effects of Alzheimer's disease.
b. identifying two resources that can be used for the mother's evening and night
care.
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.

Answer 1

B
The client's daughter and her family were coping with care until the client began to wander more at
night. The family needs assistance with evening and night care to resume their precrisis state of
functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve
overwhelming stress. The other interventions may then be accomplished.