A caregiver of dementia patient is administering morning dose of Donepezil (Aricept) but unsure why his father needs the medication. Which of following statement made by home health nurse is a best response?

A. Obtain information as covertly as possible is not recommended. While it's important to handle the situation with sensitivity, the nurse should maintain transparency and create an environment where the family feels safe to share information. Covert questioning can raise suspicion and might not facilitate open communication.
B. Avoid responding to hints that abuse has occurred is not appropriate. If there are hints of abuse, it’s crucial for the nurse to respond with empathy, concern, and to acknowledge those hints, as this can help the child and family feel supported. Ignoring signs of potential abuse could lead to further harm.
C. Be open, concerned, and honest is the best approach. The nurse should express concern in a non-judgmental, empathetic manner. This builds trust and encourages the family to provide accurate information, which is crucial for the child’s safety and well-being. It also ensures the nurse can assess the situation appropriately.
D. Separate the family from the child during the interview may be necessary in some cases if the nurse suspects abuse and needs to speak with the child alone to avoid further pressure or influence from family members. However, this is not a first-step intervention; it should only be done if the nurse has reason to believe that the family’s presence may hinder the interview or prevent the child from being honest.

A. Quetiapine (Seroquel) is an atypical antipsychotic medication used for the treatment of conditions like schizophrenia, bipolar disorder, and major depression. It is not commonly used for the immediate short-term treatment of someone who has been sexually assaulted.
B. Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety, and other mood disorders. While it may be used for long-term treatment of anxiety or depression, it is not typically the first-line choice for short-term treatment immediately after a sexual assault.
C. Cyclobenzaprine (Flexeril) is a muscle relaxant used for muscle spasms and is not typically used for short-term treatment following a sexual assault.
D. Lorazepam (Ativan) is a benzodiazepine used for its anxiolytic (anti-anxiety) and sedative properties. After a sexual assault, a victim may experience acute anxiety, panic, and distress. Lorazepam can be used short-term to help reduce anxiety, calm the individual, and assist in sleep. However, it should be used cautiously, considering the risk of dependency or sedation.