A nurse is assessing a client who is a caregiver for his spouse with Alzheimer's disease. The nurse notices that the client has lost weight, appears fatigued, and reports feeling overwhelmed. What is the priority nursing intervention for this client?
Refer the client to a support group for caregivers.
Educate the client on the stages and progression of Alzheimer's disease.
Arrange for respite care services for the client's spouse.
Assess the client for signs of depression and suicidal ideation.
The Correct Answer is D
Rationale: The client is showing signs of caregiver stress, which can lead to depression and increased risk of suicide. The priority nursing intervention is to assess the client's mental health status and provide appropriate referrals and interventions as needed.
Incorrect options:
A) Refer the client to a support group for caregivers. - This is an appropriate intervention, as support groups can provide emotional and social support, as well as information and resources, for caregivers. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
B) Educate the client on the stages and progression of Alzheimer's disease. - This is an appropriate intervention, as education can help the client understand and cope with the challenges of caring for a spouse with Alzheimer's disease. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
C) Arrange for respite care services for the client's spouse. - This is an appropriate intervention, as respite care can provide temporary relief and assistance for caregivers, allowing them to rest and attend to their own needs. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale: The client is experiencing chronic stress, which can have negative effects on their physical and mental health. The nurse should suggest professional counseling services, which can provide emotional support, coping strategies, and referrals to other resources that may help the client.
Incorrect options:
A) "You should try to find some time for yourself every day." - This is a helpful suggestion, as self-care is important for reducing stress and enhancing well-being. However, this statement may not be realistic or feasible for the client, who may not have any available time or resources to do so.
B) "You are doing a great job managing everything on your own." - This is a supportive statement, as it acknowledges the client's efforts and challenges. However, this statement may not address the client's needs or concerns, and may imply that they do not need any help or assistance.
C) "You need to prioritize your tasks and delegate what you can." - This is a practical suggestion, as prioritizing and delegating tasks can help reduce stress and workload. However, this statement may not be helpful or appropriate for the client, who may not have anyone to delegate to or may feel guilty or inadequate for doing so.
Correct Answer is D
Explanation
Rationale: The client is showing signs of caregiver stress, which can lead to depression and increased risk of suicide. The priority nursing intervention is to assess the client's mental health status and provide appropriate referrals and interventions as needed.
Incorrect options:
A) Refer the client to a support group for caregivers. - This is an appropriate intervention, as support groups can provide emotional and social support, as well as information and resources, for caregivers. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
B) Educate the client on the stages and progression of Alzheimer's disease. - This is an appropriate intervention, as education can help the client understand and cope with the challenges of caring for a spouse with Alzheimer's disease. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
C) Arrange for respite care services for the client's spouse. - This is an appropriate intervention, as respite care can provide temporary relief and assistance for caregivers, allowing them to rest and attend to their own needs. However, this is not the priority intervention, as the client's mental health needs to be addressed first.
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