A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

The partner has placed locks at the top of the doors leading to the outside.

The partner redirects the client when the client is frustrated.

The partner has hired a house cleaner.

The partner has lost 25 lbs in the past 3 months.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D: "The partner has lost 25 lbs in the past 3 months."

Choice D rationale:

This choice is the correct answer because significant weight loss in a caregiver, such as the partner of a client with Alzheimer's disease, is indicative of caregiver role strain. Caregiver role strain refers to the physical, emotional, and psychological stress experienced by caregivers due to the demands of providing care for a loved one. Weight loss in this context suggests that the partner's own health and well-being are being compromised due to the caregiving responsibilities.

Choice A rationale:

This choice might be related to safety concerns and trying to prevent the client from wandering, but it does not directly indicate caregiver role strain. Placing locks at the top of doors is a common safety measure to prevent clients with Alzheimer's disease from wandering and getting lost.

Choice B rationale:

This choice is actually a positive observation. Redirecting a frustrated client is a helpful and appropriate caregiving strategy. It indicates that the partner is actively engaged in managing the client's behavior and emotions, which is not a sign of caregiver role strain.

Choice C rationale:

Hiring a house cleaner is a practical decision and could be a sign of the partner's effort to manage their caregiving responsibilities more effectively. While it might imply a certain level of stress, it doesn't directly point to caregiver role strain as much as the significant weight loss does.

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Correct Answer is C

Explanation

The correct answer is choice C: "I'm hearing that you are concerned that it might turn out that you have cancer."

Choice A rationale:

Dismissing the client's concerns and saying there's no reason to worry is not empathetic. It invalidates the client's feelings and does not address their anxiety.

Choice B rationale:

While discussing concerns with the provider is important, it's not the most therapeutic initial response. The nurse should engage with the client's feelings before suggesting actions.

Choice C rationale:

This is the correct choice. Reflecting the client's concerns back to them shows empathy and encourages them to express their feelings. This approach opens up communication and allows the nurse to provide support.

Choice D rationale:

Asking the client why they think they might have cancer could come across as confrontational and dismissive. The focus should be on understanding their feelings rather than challenging their thoughts.

A. Offer specific privileges for sustained weight gain. B. Monitor the client's weight daily. C. Allow the client to choose the meals she will eat. D. Provide the client with small meals frequently. E. Stay with the client during meals and for 1 hr afterward.

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale:

Offering specific privileges for sustained weight gain might inadvertently encourage unhealthy behaviors in a client with anorexia nervosa. Rewarding weight gain with privileges could reinforce a potentially harmful mindset and approach to eating.

Choice B rationale:

Monitoring the client's weight daily is crucial in an inpatient setting for individuals with anorexia nervosa. It helps track their progress and any potential health risks associated with changes in weight. This action allows the healthcare team to intervene promptly if there are concerning fluctuations.

Choice C rationale:

Allowing the client to choose the meals she will eat is not recommended for someone with anorexia nervosa. The client's judgment about food choices is likely compromised by the disorder. A structured meal plan designed by healthcare professionals is typically used to support healthy eating habits.

Choice D rationale:

Providing the client with small meals frequently is a sound approach in the care of anorexia nervosa. This strategy can help prevent overwhelming feelings associated with larger meals and promote a more balanced intake throughout the day.

Choice E rationale:

Staying with the client during meals and for 1 hour afterward is important to prevent behaviors like purging after eating. It supports the client's physical and psychological safety during the vulnerable post-meal period.

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A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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