A 73-year-old woman has been providing for all of her husband's needs since he was first diagnosed with Alzheimer's disease 2 years ago
The woman considers herself to be resourceful and resilient and is proud of the fact that her husband has been able to remain in his home for so long. Today, however, the woman describes herself to the nurse as being "drained dry" and "near the end of my rope." The nurse should recognize the possibility of what nursing diagnosis?
A) Ineffective Coping related to client's changes in health as evidenced by the wife's statement that she is "near the end of my rope"
B) Caregiver Role Strain related to caregiving responsibilities as evidenced by the wife's statement that she is "near the end of my rope"
C) Fatigue related to caregiving responsibilities as evidenced by the wife's statement that she is "drained dry"
D) Risk for Anxiety related to client's prognosis as evidenced by the client's wife's statement that she is "near the end of my rope"
Ans: B
Feedback:
The combination of the wife's circumstances, responsibilities, and statements are suggestive of the fact that she is experiencing caregiver role strain. This does not preclude fatigue, anxiety, or ineffective coping, but none of these is as clearly indicated as caregiver role strain.
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