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.

Recommend allowing the client to have time alone in their room throughout the day.

Assist the caregiver to arrange for a daycare program for the client.

Answer and Explanation

The Correct Answer is D

Choice A reason: Discussing communication methods addresses client behaviors but not the caregiver’s stress from constant care. A daycare program offers respite. Focusing on communication risks neglecting caregiver well-being, potentially worsening burnout, critical to avoid in supporting caregivers of Alzheimer’s clients with high care demands.

Choice B reason: Suggesting antipsychotics for the client addresses behavior but not caregiver stress, and is inappropriate without medical evaluation. Daycare provides relief. Assuming medication is the solution risks unnecessary drug use, potentially causing side effects, critical to avoid in supporting caregiver health and client safety.

Choice C reason: Allowing the client time alone is unsafe for Alzheimer’s patients due to wandering risks and does not relieve caregiver stress. Daycare is effective. Assuming alone time helps risks client safety and caregiver burden, critical to prevent in ensuring comprehensive care for Alzheimer’s clients and caregivers.

Choice D reason: Assisting with a daycare program provides respite, reducing caregiver stress and preventing burnout while ensuring client safety. This intervention supports caregiver well-being, critical for sustained care quality, promoting mental health, and enabling effective management of Alzheimer’s disease in home settings with high care demands.

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Correct Answer is B

Explanation

Choice A reason: Holding a debriefing is post-incident, not a priority during restraint use; observing movement ensures safety. Assuming debriefing is immediate risks neglecting client monitoring, potentially causing injury, critical to avoid in ensuring safe restraint use and client well-being in acute behavioral situations.

Choice B reason: Observing range of movement during restraints ensures proper application, preventing injury like nerve damage or circulation issues, critical for client safety. This ongoing assessment adheres to restraint protocols, essential for minimizing harm, ensuring ethical care, and supporting de-escalation in aggressive clients.

Choice C reason: Maintaining sensory stimulation is inappropriate during restraints, as it may escalate agitation; observing movement is priority. Assuming stimulation is needed risks worsening aggression, potentially prolonging restraint use, critical to avoid in ensuring calm and safe management of clients in mechanical restraints.

Choice D reason: Identifying stressors is important but secondary to ensuring physical safety by observing movement during restraints. Assuming stressors are the immediate focus risks neglecting restraint safety, potentially causing injury, critical to prevent in ensuring proper monitoring and care in aggressive client situations.

A. I had to retire because my boss didn’t like me. B. I’m so glad I’ve retired because the work was making me sick and depressed. C. There were lay-offs at my company, so I journaled about what I accomplished during my career. D. Since I retired, I have entered many gardening competitions.

Correct Answer is D

Explanation

Choice A reason: Blaming the boss for retirement reflects projection, not compensation, which involves substituting strengths for losses. Gardening competitions show compensation. Assuming blame is compensation risks misidentifying coping, potentially missing adaptive strategies, critical to avoid in supporting psychological adjustment in recently retired clients.

Choice B reason: Expressing relief about retirement reflects rationalization, not compensation, where new activities offset losses. Gardening competitions indicate compensation. Assuming relief is compensation risks misunderstanding coping, potentially overlooking adaptive behaviors, critical to prevent in assessing psychological health in clients post-retirement.

Choice C reason: Journaling about accomplishments reflects sublimation, not compensation, which involves new activities like gardening to offset retirement loss. Assuming journaling is compensation risks misinterpreting coping, potentially missing adaptive strategies, critical to avoid in supporting emotional adjustment in clients navigating retirement transitions.

Choice D reason: Entering gardening competitions post-retirement reflects compensation, substituting new achievements for lost work identity, promoting psychological adjustment. This adaptive coping is critical for mental health, supporting self-esteem, and ensuring positive adaptation, essential for assessing effective coping strategies in clients recently retired from their careers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who became physically aggressive and had to be placed in mechanical restraints. Which of the following actions should the nurse take while the client is in restraints?

Correct Answer is B

Explanation

A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?

Correct Answer is D

Explanation

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