A home health nurse is visiting with 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 apologize for the dishes piling up in the kitchen sink."

I am still trying to rearrange the furniture so they can use their walker."

"I have a neighbor coming over so I can go get my hair cut and styled."

"I will need financial assistance if I don't get back to my job soon."

Answer and Explanation

The Correct Answer is C

A. "I apologize for the dishes piling up in the kitchen sink":

Apologizing for the dishes piling up may indicate a sense of stress or feeling overwhelmed, rather than adapting positively to the caregiving role.

B. "I am still trying to rearrange the furniture so they can use their walker":

While rearranging furniture to accommodate the client's needs is helpful, it doesn't necessarily reflect adaptation to the caregiver role in terms of self-care or seeking external support.

C. "I have a neighbor coming over so I can go get my hair cut and styled."

This statement suggests that the caregiver is seeking support from a neighbor, allowing them to take a break and prioritize self-care by getting their hair cut and styled. Seeking assistance and taking time for personal well-being indicate an adaptive approach to the caregiving role.

D. "I will need financial assistance if I don't get back to my job soon":

Expressing a need for financial assistance due to the inability to return to work may suggest financial concerns but doesn't directly indicate adaptation to the caregiving role. Adaptation involves finding effective ways to manage the caregiving responsibilities while addressing personal needs.

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Correct Answer is C

Explanation

A. "I will make sure my child gets a measles, mumps, and rubella vaccine this week."

Children with leukemia often have compromised immune systems, and live vaccines like measles, mumps, and rubella are generally contraindicated. Inactivated vaccines are usually recommended.

B. "I should take my child's rectal temperature daily."

While monitoring for fever is crucial in a child with leukemia due to the risk of infection, a rectal temperature is not typically necessary. Oral or tympanic temperature measurements are more commonly used.

C. "I should inspect my child's mouth for sores."

Children with leukemia are at increased risk of developing oral sores, infections, and complications. Regular inspection of the mouth allows for early detection of any issues, promoting timely intervention and prevention of complications.

D. "I'm sure my child will feel better now that he can ride his bicycle."

Physical activity and play are essential for a child's well-being, but this statement does not address the specific complications associated with leukemia or preventive measures for those complications. Regular medical monitoring and adherence to preventive measures are crucial.

A. Orienting staff members to a new piece of equipment that will be used in the home setting B. Tracking the number of postoperative clients who are readmitted to the acute care facility C. Teaching clients family members how to care for a wound in the home setting D. Organizing an event to improve the morale of the home health staff

Correct Answer is B

Explanation

A. Orienting staff members to a new piece of equipment that will be used in the home setting.

While orienting staff to new equipment is important for competence, it is not a direct measure of care quality. It is more related to staff training and familiarity with equipment.

B. Tracking the number of postoperative clients who are readmitted to the acute care facility.

Explanation: Tracking the number of postoperative clients who are readmitted to the acute care facility is a measure of care quality. Monitoring readmissions can reveal trends and patterns that may indicate areas for improvement in the care provided, such as postoperative care protocols, patient education, and follow-up procedures. This data helps assess the effectiveness of the care provided and guides efforts to enhance the quality of care.

C. Teaching clients' family members how to care for a wound in the home setting.

Teaching family members is an essential component of care, but it is focused on patient and caregiver education rather than providing direct feedback on care quality.

D. Organizing an event to improve the morale of the home health staff.

Organizing an event to improve staff morale is related to staff well-being and teamwork but does not directly measure or provide feedback on the quality of care delivered to clients.

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A home health nurse is visiting with 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?

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Correct Answer is B

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