A nurse is caring for an 84-year-old female client in her home and is discussing caregiver stress with the client’s daughter.
Involve your mother in the decision-making process.
It is okay not to love or like your mother when you are caring for her.
Moving your mother into a care facility will show her that you do not love her.
Avoid discussion of negative situations that may occur in the future.
Saying "no" to things involving the care of your mother is a selfish action.
Take time for yourself and the other relationships that you care about
Correct Answer : A,B,E
Choice A rationale: Involving the mother in the decision-making process can help reduce caregiver stress by sharing the responsibility and ensuring that the client's preferences and needs are considered. This collaborative approach can lead to better outcomes and improved communication.
Choice B rationale: It is important to acknowledge that caregiving can be challenging and can affect emotions. Recognizing that it is okay to have complex feelings, including not always loving or liking the person being cared for, helps normalize these emotions and reduces guilt and stress.
Choice C rationale: Moving a loved one into a care facility can be a difficult decision, but it does not necessarily mean a lack of love. However, this statement is not appropriate as it may reinforce negative emotions and guilt.
Choice D rationale: Avoiding the discussion of negative situations that may occur in the future is not helpful. It is important to plan for potential challenges to be prepared and reduce stress.
Choice E rationale: Saying "no" to things involving the care of a loved one is not selfish. It is important to set boundaries and prioritize self-care to prevent caregiver burnout. However, this statement suggests the opposite and is not appropriate.
Choice F rationale: Taking time for oneself and maintaining other important relationships is essential for a caregiver's well-being. Self-care and social support can help reduce stress and improve the ability to provide care effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}
Explanation
Epidural anesthesia can cause vasodilation and a resultant drop in blood pressure, hence the importance of close monitoring and IV fluid administration to maintain blood pressure levels.
Risk Factors:
- Peripheral vasodilation: This is related to the relaxation of blood vessels, which can lead to a drop in blood pressure (hypotension). It is not a direct risk on its own but a cause of hypotension.
- Hypotension: This is the correct answer. Epidural anesthesia can cause a significant drop in blood pressure due to vasodilation.
- Urinary retention: This can occur with epidural anesthesia as the sensation to urinate may be diminished, causing the bladder to fill and potentially lead to bladder distention and discomfort.
- Fluid overload: This is less commonly associated with epidural anesthesia. It is typically related to excessive intravenous fluid administration.
Causes:
- Inadequate pain relief: This would not directly cause the issues mentioned above but would indicate that the epidural is not effectively managing the client's pain.
- Decreased fetal heart rate: This can be a consequence of maternal hypotension, which reduces blood flow to the placenta.
- Full urinary bladder: This can be a result of urinary retention due to the effects of the epidural, but it is not a direct cause of hypotension.
- Inability to push: This can occur with epidural anesthesia as it may decrease the ability to feel contractions and effectively push during delivery, but it is not related to hypotension.
Correct Answer is D
Explanation
Choice A rationale
Asking the mother about usual care practices might provide useful information, but it is not the best immediate intervention for addressing the child's dry and cracked lips and nares. Immediate action should be taken to provide relief.
Choice B rationale
Using a topical lidocaine analgesic is not appropriate for treating dryness and cracking of the lips and nares. Lidocaine is an anesthetic, not a moisturizing agent, and could cause additional irritation or adverse reactions if used improperly.
Choice C rationale
Applying petroleum jelly to the child's nose and lips is not recommended as it poses a risk of aspiration, especially in young children. Inhaling petroleum jelly can lead to respiratory issues and is therefore not a safe option.
Choice D rationale
Using a water-soluble lubricant is the best option for moisturizing and protecting the child's dry and cracked lips and nares. Water-soluble lubricants are safe for use on mucous membranes and provide effective relief without the risk of aspiration.
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