A home health client has multiple sclerosis. In the last 6 months, his condition has deteriorated significantly. The home health nurse is concerned about the spouse experiencing caregiver role strain
Which of the following, if present, would the nurse expect to see or hear if this could be the situation? (Select all that apply.)
1. The home appears more unkempt and cluttered.
2. The spouse expresses feelings of anger.
3. The spouse reports decreased energy.
4. The spouse reports that she is learning how to manage finances.
Correct Answer: 1,2,3
Rationale: Caregiver role strain occurs when caregivers experience physical, emotional, social, and financial burdens that can seriously jeopardize their own health and well-being. Signs of caregiver overload or strain include those identified in the answer as well as difficulty performing routine tasks for the client; concerns that the caregiver's responsibilities interfere with other roles as parent, spouse, worker, and friend; anxiety about meeting future needs of the client; and feelings of depression. Learning how to manage finances is a positive statement and would not indicate strain.
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