A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Offer to talk with the caregiver about their feelings.
Refer the caregiver to a local support group.
Discuss relaxation techniques with the caregiver.
Consult social services to explore counseling for the caregiver.
The Correct Answer is A
A. Offering to talk with the caregiver about their feelings provides immediate support and validation of their emotions. It allows the caregiver to express their concerns and stressors, which can help alleviate some of the caregiver's distress.
B. Referring the caregiver to a local support group is a helpful intervention but may not address the caregiver's immediate emotional needs. Offering immediate support by listening and empathizing is the first step.
C. Discussing relaxation techniques with the caregiver may be beneficial, but addressing the caregiver's emotional distress should take precedence.
D. Consulting social services to explore counseling for the caregiver is a valuable intervention, but offering immediate support by engaging in a conversation about their feelings is the most appropriate initial action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"A"}}
Explanation
Electroconvulsive therapy (ECT) is contraindicated in the acute phase of alcohol withdrawal due to the increased risk of seizure activity.
Group therapy is anticipated as it can provide peer support, coping strategies, and psychoeducation, which are beneficial for individuals with alcohol use disorder.
Performing the Alcohol Use Disorders Identification Test (AUDIT) is anticipated to assess the severity of alcohol use disorder and guide treatment planning.
Methadone may be anticipated as part of the treatment plan for managing alcohol withdrawal symptoms and cravings.
Ordering a complete blood count and basic metabolic profile is anticipated to assess the client's overall health status and detect any abnormalities related to alcohol use.
A nutritional consult is anticipated to address the client's weight loss and minimal appetite, providing dietary recommendations and support.
Propranolol may be anticipated to manage autonomic symptoms of alcohol withdrawal, such as tremors and tachycardia.
Diazepam may be anticipated to manage alcohol withdrawal symptoms, including agitation, anxiety, and seizures.
Correct Answer is B
Explanation
- Choice A Rationale: This statement does not indicate spiritual distress. On the contrary, it suggests that the client's faith is a source of strength and hope, which is typically a sign of positive spiritual well-being.
- Choice B Rationale:
This statement suggests a disruption in the client's spiritual practices, which could lead to spiritual distress as it interferes with a meaningful coping mechanism.
- Choice C Rationale: Similar to choice A, this statement reflects a positive aspect of the client's spirituality. Finding comfort in meditation is indicative of a beneficial spiritual practice and does not suggest distress.
- Choice D Rationale:
This reflects active spiritual support, which is helpful during illness and not indicative of spiritual distress.
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