You are caring for a patient with late-stage Alzheimer's disease. The patient's wife tells you that the patient has become very dependent and that she feels guilty if she takes any time for herself because the patient cries out for her
What outcomes would be appropriate for the nurse to develop to assist the patient's wife?
A) The caregiver learns to explain to the patient why she needs time for herself.
B) The caregiver distinguishes obligations she must fulfill from those that can be controlled or limited.
C) The caregiver leaves the patient at home alone for short periods of time to encourage independence.
D) The caregiver avoids asking other family members to help for fear of imposing on them.
Ans: B
Feedback: For prolonged periods, it is not uncommon for caregivers to neglect their own emotional and health needs. The caregiver must learn to distinguish obligations that she must fulfill and limit those that aren't necessary. The caregiver can tell the patient when she leaves, but she shouldn't expect that the patient will remember or won't become angry with her for leaving. The caregiver should not leave the patient home alone for any length of time because it may compromise the patient's safety. The nurse can provide support to the primary caregiver if she needs to ask other family members for assistance.
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