During a home health visit, the nurse learns that the family member who is the primary caregiver of the patient is exhausted and tense. Which nursing diagnosis should the nurse recommend for the patient's plan of care?
a. Social Isolation
b. Caregiver Role Strain
c. Altered Role Performance
d. Ineffective Therapeutic Regimen Management
ANS: B
B. Caregiver role strain is related to the management of a chronic illness and lack of understanding of resources available. The caregiver is exhibiting signs of role strain: exhaustion and being tense. A. B. D. The caregiver is not demonstrating signs of social isolation, altered role performance, or ineffective management of the therapeutic regimen.
You might also like to view...
The client in the prenatal clinic tells the nurse that she is sure that she is pregnant because she has not had a menstrual cycle for three months, and her breasts are getting bigger. What response by the nurse is best?
1. "Lack of menses and breast enlargement are presumptive signs of pregnancy." 2. "The changes you are describing are definitely indicators that you are pregnant." 3. "Lack of menses can be caused by many things. We need to do a pregnancy test." 4. "Breast and menstrual changes are positive signs of pregnancy. Congratulations."
The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into:
a. atrial fibrillation and possible emboli. b. sinus tachycardia and syncope. c. ventricular tachycardia and death. d. sinus bradycardia and fatigue.
Two years after chemotherapy and radiation therapy for lung cancer, a 72-year-old patient notices that he seems to be extremely tired all the time
The physician suspects the patient may have developed aplastic anemia. The nurse assessing the patient will likely find which of the following clinical manifestations of aplastic anemia? Select all that apply. A) Complaints of weakness and fatigue B) Small spots of skin hemorrhages over the entire body C) Excess bleeding from gums and nose D) Spoon-shaped deformity of the fingernails E) Hemolysis from renal dialysis treatments.
City council asks the population health nurse to assist with preventing the relapse of substance abuse by community members returning from rehabilitation. What actions should the nurse take to help these community members? (Select all that apply.)
1. Create relapse prevention groups. 2. Alert law officials that community members are being released. 3. Work with community members to identify triggers for drug use. 4. Meet with family members to discuss relapse prevention strategies. 5. Encourage family members to participate in relapse prevention groups.