The primary caregiver of a client with newly diagnosed Alzheimer's disease states "I don't know how I will handle caring for my spouse with this disease". What is the nurse's best first response?
"You sound overwhelmed, can you tell me more?"
"It will take time, but lot's of people do it"
"What do you think will be the hardest thing to handle?"
"The entire health care team will manage most of the disease process
The Correct Answer is A
Choice A Rationale: "You sound overwhelmed, can you tell me more?" is an empathetic response that encourages the caregiver to express their feelings and concerns. It opens the door for effective communication and understanding.
Choice B Rationale: "It will take time, but lots of people do it" may be true, but it does not directly address the caregiver's emotional state or offer support.
Choice C Rationale: "What do you think will be the hardest thing to handle?" is a probing question that can help identify specific concerns, but it may not be the most appropriate initial response.
Choice D Rationale: "The entire healthcare team will manage most of the disease process" does not acknowledge the caregiver's emotions and concerns and may not provide the needed support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Rationale: A person who makes up stories when he is unable to remember actual events is confabulating. This can be seen as a way of filling in the blanks in their memory with plausible details that may or may not have happened. For example, a person with dementia may confabulate that they had lunch with a friend yesterday, when in fact they did not see anyone.
Choice B Rationale: reminiscing about the past, which is a normal and healthy way of recalling one's life experiences and sharing them with others.
Choice C Rationale: displaying compulsive and ritualistic behaviors, which are repetitive actions that a person feels compelled to perform, often as a way of reducing anxiety or distress.
Choice D Rationale: refusing to leave home to see a provider, which is a sign of agoraphobia, a fear of being in situations where escape might be difficult or embarrassing.
Correct Answer is D
Explanation
Choice A Rationale: Checking the patient's orientation to time and date is a part of assessing cognitive function but is not specific to the Mini-Cog exam.
Choice B Rationale: Obtaining a list of the patient's prescribed medications is important for the overall assessment but is not specific to the Mini-Cog exam.
Choice C Rationale: Determining the patient's ability to recognize a common object is not a component of the Mini-Cog exam.
Choice D Rationale: Asking the patient to draw a clock with a specific time is a key component of the Mini-Cog exam, which assesses cognitive impairment and is commonly used to screen for Alzheimer's disease.
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