An older patient with cognitive impairment is being cared for by family members. They have expressed concerns about providing appropriate care as his functional level declines. The nurse responds
a. "I'm glad that you are interested enough in his care that you've expressed this concern."
b. "His abilities will certainly decline. This is the time to discuss other care options."
c. "You are right to be concerned. Let's talk about issues that may come up in the fu-ture."
d. "The condition will get worse, so think about what will happen if you can't meet his needs."
C
Caregivers need realistic information regarding the possible progression of the disease process and how that will affect patient needs/care. The nurse provides anticipatory guidance and helps the family identify issues that may occur in the future. Stating you are glad the family voiced concerns is caring but does not address the issue. Telling the family it is time to address other care options or what they should think about is presumptuous.
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