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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Suggesting that the family member contact a grief counselor may be helpful, but it does not address their immediate need to help. Involving the family member in care can provide emotional support and a sense of purpose.
Choice B rationale
Describing a personal experience with the death of a family member may offer empathy but can shift the focus away from the client's needs. It is essential to keep the conversation centered on the family member's desire to help.
Choice C rationale
Including the family member in providing care for the client is an appropriate action. It allows them to participate actively, provides emotional support, and can be comforting for both the client and the family member.
Choice D rationale
Asking if the family member has had prior experience with the death of a family member may be relevant but does not directly address their desire to help. It is more effective to involve them in the care process immediately. .
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Increased peripheral circulation is not a typical part of the aging process. In fact, aging is often associated with decreased circulation due to vascular changes and reduced cardiac output.
Choice B rationale
Constipation is more common in older adults due to factors like reduced intestinal motility, decreased fluid intake, and medication side effects, making it a relevant physiological change in aging.
Choice C rationale
Decreased muscle mass, or sarcopenia, is a common part of aging. It results from a combination of reduced physical activity, hormonal changes, and nutritional deficiencies.
Choice D rationale
A decreased cough reflex in older adults increases the risk of aspiration and respiratory infections. It results from changes in neurological function and reduced muscle strength.
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