A community health nurse is providing support to the caregiver of a client who has new onset dementia. Which of the following statements should the nurse make to the caregiver?
You should not expect any financial assistance for dementia.
You should find a local support group for caregivers.
You should not allow anyone else to care for your partner.
You should complete all ADLs for your partner.
The Correct Answer is B
Choice A reason: This statement is false and discouraging. The caregiver may be eligible for financial assistance for dementia from various sources, such as Medicare, Medicaid, or private insurance.
Choice B reason: This statement is true and supportive. The caregiver may benefit from finding a local support group for caregivers, where they can share their experiences, learn coping strategies, and access resources.
Choice C reason: This statement is unrealistic and harmful. The caregiver should not isolate themselves or their partner from other sources of support. The caregiver may need to delegate some tasks to other family members, friends, or professional caregivers.
Choice D reason: This statement is unreasonable and exhausting. The caregiver should not take over all the activities of daily living (ADLs) for their partner, as this may undermine their partner's autonomy and dignity. The caregiver should encourage their partner to perform ADLs as much as possible, with assistance as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
Correct Answer is B
Explanation
Choice A reason : Teaching clients' family members how to care for a wound is an educational activity that enhances the family's ability to provide care but does not directly provide feedback on the quality of care given by the staff.
Choice B reason : Tracking the readmission rates of postoperative clients is a direct measure of care quality. High readmission rates can indicate issues with the surgery or the postoperative care, making this a valuable metric for quality assessment.
Choice C reason : Orienting staff to new equipment is important for ensuring safe and effective use, but it does not offer direct feedback on the quality of care. It is more about maintaining competency and safety standards.
Choice D reason : Organizing morale-boosting events is beneficial for staff well-being and can indirectly affect care quality. However, it does not provide immediate feedback on the quality of care provided to clients.
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