A nurse is caring for an 84-year-old female client in her home to establish home health care and perform an initial assessment.

Exhibits

Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

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.

Choice A rationale

Starting with the most difficult tasks can be overwhelming for the client and may increase anxiety. When interviewing a client suspected of domestic violence, it is important to build rapport and trust first by starting with less sensitive topics. This approach allows the client to feel more comfortable and secure before discussing more difficult issues.

Choice B rationale

Beginning with tasks that are less sensitive in nature helps to build rapport and trust with the client. This approach allows the nurse to establish a safe and supportive environment, making the client more likely to open up about sensitive issues such as domestic violence. Establishing a connection with the client is crucial for effective communication and assessment.

Choice C rationale

Asking vague, non-specific questions can lead to unclear and incomplete information. It is important to ask clear, specific questions to gather accurate information about the client's situation. This approach helps to ensure that the nurse obtains a comprehensive understanding of the client's needs and concerns.

Choice D rationale

Sharing personal values to put the client at ease is not appropriate in a professional setting. The nurse's role is to provide unbiased and non-judgmental care. Sharing personal values can create a sense of discomfort or pressure for the client, hindering effective communication and trust-building.