A client is accompanied by his spouse to the clinic for rehabilitation after an extensive traumatic brain injury (TBI) from combat. The client's spouse reports feelings of being overwhelmed with the constant care for the injured veteran. Which of the following would be the most appropriate nursing intervention for the caregiver of an injured service member?
Stressing the importance of continuous open communication between the spouse and service member
Assessing for abuse of the injured service member by the spouse
Ensuring the caregiver encourages the injured service member to be as independent as possible
Identifying additional needs and ensuring that resources are provided
The Correct Answer is D
Choice A reason: While open communication is important, it does not directly address the spouse’s feelings of being overwhelmed. Communication alone will not relieve caregiver burden or provide tangible support.
Choice B reason: Assessing for abuse is always part of nursing care, but there is no indication of abuse in this scenario. Focusing on abuse without evidence would be inappropriate and non-therapeutic.
Choice C reason: Encouraging independence in the injured service member is beneficial, but it does not directly address the caregiver’s stress. The spouse’s concern is about the overwhelming responsibility, which requires external support and resources.
Choice D reason: Identifying additional needs and ensuring resources are provided is the most appropriate intervention. Caregiver burden is a well-documented issue in TBI rehabilitation, and nurses play a key role in connecting families with respite care, support groups, counseling, and community resources. This intervention directly addresses the spouse’s feelings of being overwhelmed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Encouraging family to meet all self-care needs reduces opportunities for independence. While family support is important, overdependence hinders skill development and autonomy in adolescents with moderate ID.
Choice B reason: Avoiding interference entirely may lead to frustration or unsafe practices. Moderate ID requires structured guidance, not complete independence. Without support, the client may struggle to complete tasks correctly or safely.
Choice C reason: Meeting all self-care needs for the client fosters dependency and prevents skill acquisition. While safety is important, this approach denies the adolescent opportunities to practice and improve self-care abilities.
Choice D reason: Providing simple directions and praising independent efforts is the most appropriate intervention. Adolescents with moderate ID benefit from step-by-step guidance and positive reinforcement. This approach builds confidence, encourages autonomy, and ensures safety while promoting skill mastery.
Correct Answer is D
Explanation
Choice A reason: While open communication is important, it does not directly address the spouse’s feelings of being overwhelmed. Communication alone will not relieve caregiver burden or provide tangible support.
Choice B reason: Assessing for abuse is always part of nursing care, but there is no indication of abuse in this scenario. Focusing on abuse without evidence would be inappropriate and non-therapeutic.
Choice C reason: Encouraging independence in the injured service member is beneficial, but it does not directly address the caregiver’s stress. The spouse’s concern is about the overwhelming responsibility, which requires external support and resources.
Choice D reason: Identifying additional needs and ensuring resources are provided is the most appropriate intervention. Caregiver burden is a well-documented issue in TBI rehabilitation, and nurses play a key role in connecting families with respite care, support groups, counseling, and community resources. This intervention directly addresses the spouse’s feelings of being overwhelmed.
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