A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?
"I will need financial assistance if I don't get back to my job soon."
"I have a neighbor coming over so I can go get my hair cut and styled."
"I apologize for the dishes piling up in the kitchen sink."
"I am still trying to rearrange the furniture so they can use their walker."
The Correct Answer is B
Choice A reason: This statement reflects concern about personal finances rather than adaptation to the caregiving role. It indicates stress related to balancing work and caregiving responsibilities.
Choice B reason: Arranging for a neighbor to come over demonstrates proactive planning and the ability to delegate responsibilities, which are important aspects of adapting to a caregiving role.
Choice C reason: Apologizing for untidiness may indicate feeling overwhelmed, which can be a sign of difficulty in adjusting to the new responsibilities of caregiving.
Choice D reason: Trying to rearrange the furniture for walker use shows consideration for the client's needs but also suggests ongoing challenges with adapting the living environment for care.
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Correct Answer is B
Explanation
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
Correct Answer is B
Explanation
Choice A reason: Nodding and smiling are positive reactions, but they do not necessarily indicate understanding, as they can be polite responses or reflexive actions.
Choice B reason: Demonstration of learned content is a clear indication of understanding. When a client can replicate the teaching, it shows they have comprehended the information and are able to apply it.
Choice C reason: While wearing glasses and hearing aids can help a client see and hear the teaching better, it does not confirm that the client has understood the material presented.
Choice D reason: Frequent eye contact might suggest attentiveness, but like nodding and smiling, it is not a reliable indicator of comprehension.
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