A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take?
Discuss methods of how to communicate with the client about resolving problem behaviors.
Suggest that the caregiver seek a prescription for an antipsychotic medication for the client.
Assist the caregiver to arrange for a daycare program for the client.
Recommend allowing the client to have time alone in their room throughout the day.
The Correct Answer is C
A. Communication strategies may help but won’t directly reduce caregiver stress.
B. Antipsychotic medication is not a first-line solution and should be prescribed only for specific symptoms.
C. Arranging a daycare program provides respite for the caregiver and promotes social interaction for the client.
D. Allowing the client to be alone may increase anxiety and is unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The NG tube should be flushed with 15-30 mL of water before and after medication administration, not 5 mL.
B. Medications should not be added directly to enteral feeding as it may alter the medication's effectiveness or cause tube clogging.
C. Using a syringe to allow medications to flow by gravity reduces the risk of pressure-related complications and ensures safe administration.
D. Medications should be dissolved separately to prevent interactions or clogging.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
|
Potential action |
Indicated |
Contraindicated |
|
Ask the client about the content of their hallucinations. |
✓ |
|
|
Instruct the client on expected hygiene practices. |
✓ |
|
|
Allow the client to watch TV at a high volume. |
✓ |
|
|
Assess the client for suicidal ideation. |
✓ |
|
|
Place the client in a room near the activity |
✓ |
Rationale
- Ask the client about the content of their hallucinations: Indicated
- Understanding the content of hallucinations can help in assessing the severity and nature of the client's condition, and in planning appropriate interventions.
- Instruct the client on expected hygiene practices: Indicated
- Encouraging and educating the client about personal hygiene is important for their overall well-being and social interactions.
- Allow the client to watch TV at a high volume: Contraindicated
- High volume and excessive stimulation can exacerbate symptoms of schizophrenia, such as hallucinations and agitation.
- Assess the client for suicidal ideation: Indicated
- Regular assessment for suicidal thoughts is crucial, even if the client initially denies them, as their mental state can change.
- Place the client in a room near the activity: Contraindicated
- A quieter environment is generally more beneficial for clients with schizophrenia to reduce overstimulation and stress.
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