A client who had a severe traumatic brain injury is being discharged home, where the spouse will be a full-time caregiver. What statement by the spouse would lead the nurse to provide further education on home care?
a. "I know I can take care of all these needs by myself."
b. "I need to seek counseling because I am very angry."
c. "Hopefully things will improve gradually over time."
d. "With respite care and support, I think I can do this."
ANS: A
This caregiver has unrealistic expectations about being able to do everything without help. Acknowledging anger and seeking counseling show a realistic outlook and plans for accomplishing goals. Hoping for improvement over time is also realistic, especially with the inclusion of the word "hopefully." Realizing the importance of respite care and support also is a realistic outlook.
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