A home health nurse is visiting a client who has advanced Alzheimer's disease.
The client's partner states, "I miss being able to go places with my friends.”. Which of the following is an appropriate response by the nurse?
"We can discuss this when you're not feeling overwhelmed.”.
"Have you tried taking your partner with you when you go out?"
"Tell me more about your expectations.”.
"I understand how you feel. I've had a relative go through the same thing.”
The Correct Answer is C
Choice A rationale
Telling the client's partner to discuss their feelings when not feeling overwhelmed is dismissive. It does not address their current emotional state or offer support. This response can make the partner feel unheard and may not provide immediate relief or understanding.
Choice B rationale
Suggesting that the partner take the client with them when going out may not be practical, especially considering the advanced stage of Alzheimer's disease. This response can show a lack of understanding of the challenges faced by caregivers of individuals with severe cognitive impairment.
Choice C rationale
Asking the partner to share more about their expectations opens a dialogue and shows empathy. It allows the nurse to understand the partner’s feelings and needs better, providing an opportunity for supportive and individualized advice.
Choice D rationale
While expressing understanding and sharing a personal experience might build rapport, it can shift the focus away from the partner's feelings and needs. The nurse should remain client-centered, providing support specific to the partner's situation rather than comparing it to their own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Keeping elbows slightly bent when grasping the walker helps to maintain stability and control. This positioning reduces the strain on the arms and shoulders, providing a more comfortable and effective way to use the walker.
Choice B rationale
Sliding the walker and moving it about a foot in front can cause instability. Instead, lifting the walker and placing it step-by-step ensures better support and reduces the risk of falls.
Choice C rationale
Moving the walker and the stronger leg at the same time can lead to imbalance and falls. The correct method is to move the walker first, then step forward with the weaker leg, followed by the stronger leg.
Choice D rationale
Keeping the walker height adjusted so the user leans slightly forward is incorrect. The walker height should be at the level of the wrists when the arms are hanging down, allowing for a natural and upright posture.
Correct Answer is ["7"]
Explanation
Step 1: mg/kg/day × 35 kg = 2800 mg/day
Step 2: 0 mg/day ÷ 4 doses/day = 700 mg/dose.
Step 3: mg ÷ (1 g/10 mL) = 700 mg ÷ (1000 mg/10 mL)
Step 4: mg ÷ 100 mg/mL = 7 mL.
The nurse should administer 7 mL per dose.
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