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The nurse uses the Modified Caregiver Strain Index (MCSI) and determines that the daughter is under significant stress caused by the assumption of her mother’s care. Select the 3 statements that the nurse should include when discussing caregiver stress with the client’s daughter.

You made a promise to your mother that you need to keep

Moving your mother into a care facility will show her that you do not love her

Helping your mother should be easier than raising a child

Involve your mother in the decision-making process

It is okay not to love or like your mother when you are caring for her

Take time for yourself and the other relationships that you care about

Saying “no” to things involving the care of your mother is a selfish action

Answer and Explanation

Correct Answer : D,E,F

Choice D rationale
Involving the mother in the decision-making process can help alleviate some of the stress associated with caregiving. It allows the mother to maintain some control over her care and ensures that her needs and preferences are being met.
Choice E rationale
It is normal to have mixed feelings when caring for a loved one. Acknowledging these feelings can be an important part of managing caregiver stress.
Choice F rationale
Taking time for oneself and maintaining other relationships is crucial for caregiver well-being. It can help prevent burnout and improve the quality of care provided to the mother.

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Free Nursing Study Resources

Correct Answer is C,A,B,D

Explanation

Choice C rationale

The first step in managing a patient with abdominal pain and distention is to complete a focused assessment. This will help the nurse determine the severity of the patient’s condition and guide subsequent interventions.

Choice A rationale

Elevating the head of the bed can help reduce the risk of aspiration, especially in a patient who has recently vomited. This is particularly important in this case as the patient’s vomit is dark brown, indicating possible upper gastrointestinal bleeding.

Choice B rationale

Sending the emesis sample to the lab is important for determining the cause of the patient’s symptoms. The lab can analyze the sample for the presence of blood or other abnormalities.

Choice D rationale

Offering PRN pain medication is important for patient comfort. However, it should be done after the assessment and initial interventions have been completed. The medication may mask symptoms that could provide important diagnostic information.

A. Periodic sighing and shaking of the head. B. Decreased activity level and change in affect. C. Repeated requests for attention from the nurse. D. Argumentativeness and use of profanity.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Periodic sighing and shaking of the head can be signs of agitation and distress. These behaviors may indicate that the client is struggling to manage their emotions and may need additional support or intervention.
Choice B rationale
A decreased activity level and change in affect can be signs of many different mental health conditions, but they are not typically associated with agitation. Therefore, while these behaviors should be monitored, they are not the priority in this situation.
Choice C rationale
Repeated requests for attention from the nurse can be a sign of agitation. This behavior may indicate that the client is feeling distressed and is seeking help in managing their emotions.
Choice D rationale
Argumentativeness and use of profanity are clear signs of agitation. These behaviors can escalate quickly and may pose a risk to the safety of the client and others on the unit.
Therefore, these behaviors should be prioritized for monitoring.

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The nurse uses the Modified Caregiver Strain Index (MCSI) and determines that the daughter is under significant stress caused by the assumption of her mother’s care. Select the 3 statements that the nurse should include when discussing caregiver stress with the client’s daughter.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C,A,B,D

Explanation

A client on the mental health unit has been displaying signs of agitation, such as scowling and pacing rapidly up and down the hallway for several minutes. Which behaviors should the nurse prioritize for monitoring?

Correct Answer is ["A","C","D"]

Explanation

A patient with pancreatic cancer develops ascites, and 2 liters of fluid are removed via paracentesis. What schedule should the nurse follow to monitor the patient’s blood pressure after this procedure?

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