A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should the nurse make?

"You should think about placing your mother in a long-term care facility."

"I think you should find other family members who could help your mother."

"You owe it to your mother to take care of her now that she needs you."

"Let me give you some information about respite care for your mother."

Answer and Explanation

The Correct Answer is D

A.   The decision to place a loved one in long-term care is complex and should be made based on the family's needs and situation, not dictated by the nurse.
B.   Suggesting the son find other family members for help is a reasonable idea, but it does not directly address his fatigue.
C.   While taking care of a loved one is important, making the son feel obligated is not supportive or helpful.
D.   Correct. Respite care provides temporary relief to caregivers and can help address the son's fatigue while ensuring his mother's needs are met.

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Correct Answer is A

Explanation

A. Correct. This response acknowledges the client's feelings and demonstrates empathy. It opens the door for further discussion and exploration of the client's beliefs without immediately challenging them.
B. Incorrect. Directly contradicting the client's beliefs may cause resistance and increase their distress. It's important to approach the situation with sensitivity and understanding.
C. Incorrect. While asking for clarification is a valid approach, it may not be the most appropriate initial response. It's important to establish trust and rapport with the client before delving into their delusional beliefs.
D. Incorrect. Asking "why" s may put the client on the defensive and may not lead to a productive conversation about their beliefs. It's better to approach the situation with empathy and openness before exploring the client's perspective.

A. Verify the amount of TPN solution the client is receiving every 4 hr. B. Prepare the client for a chest x-ray to verify catheter placement. C. Place the client in Sims' position for catheter insertion. D. Use a clean technique when changing the catheter dressing.

Correct Answer is B

Explanation

A. Incorrect. Verifying the TPN solution amount is not directly related to preparing for central venous catheter insertion.
B. Correct. Chest X-rays are typically done after central venous catheter insertion to confirm proper catheter placement.
C. Incorrect. Sims' position is not the appropriate position for central venous catheter insertion.
The Trendelenburg position is commonly used for this purpose.
D. Incorrect. Sterile technique, not clean technique, is used for changing the catheter dressing to prevent infection.

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A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should the nurse make?

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