A family caregiver expresses feeling overwhelmed and exhausted.
What is the nurse's best action?
Suggest the caregiver resign their duties to another family member.
Give the caregiver a hug and tell them to hang in there.
Encourage the caregiver to stop visiting temporarily to take some time for themselves.
Recommend a respite care program.
The Correct Answer is D
Choice A rationale
Suggesting a caregiver resign their duties can be an insensitive and impractical solution. Caregiving responsibilities are often deeply personal and rooted in familial bonds. Such a suggestion may increase feelings of guilt or failure rather than providing constructive support or addressing the underlying exhaustion.
Choice B rationale
While empathy and emotional support are valuable, a hug alone does not address the practical and systemic issues contributing to caregiver burnout. It provides momentary comfort but fails to offer concrete solutions for managing the overwhelming demands, stress, and exhaustion inherent in long-term caregiving.
Choice C rationale
Encouraging temporary cessation of visits, while seemingly offering respite, can be detrimental to both the caregiver and the care recipient. It might lead to feelings of guilt for the caregiver and a sense of abandonment for the patient, potentially worsening their emotional well-being and disrupting care continuity.
Choice D rationale
Respite care programs offer temporary relief for primary caregivers, allowing them to rest and attend to personal needs while ensuring the patient receives professional care. This structured support system helps prevent caregiver burnout, maintain the caregiver's physical and mental health, and improve overall care quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While wearing a radiation detection badge (dosimeter) is crucial for personnel working with radiation to monitor their cumulative exposure, it does not directly prevent or decrease the amount of radiation exposure received by the individual. Its purpose is solely for measurement and safety monitoring.
Choice B rationale
Ordinary Standard Precautions are essential for infection control, but they are insufficient alone for caring for a patient with a sealed radiation implant. Specific radiation safety precautions, including time, distance, and shielding, are paramount to minimize exposure to healthcare personnel.
Choice C rationale
Limiting total time in the patient's room is a valid radiation safety principle (time). However, a blanket 60 minutes per 8-hour shift might not be universally appropriate and specific limits are often more stringent, typically measured in minutes per visit rather than a cumulative shift total to minimize exposure effectively.
Choice D rationale
Wearing a lead apron provides a physical barrier for shielding against gamma radiation, which is emitted by sealed implants. Lead's high atomic number effectively attenuates radiation, thereby significantly decreasing the amount of radiation exposure to vital organs for healthcare workers.
Correct Answer is B
Explanation
Choice A rationale
The TNM staging system (T-tumor, N-node, M-metastasis) describes the anatomical extent of cancer. T4N2M2 indicates extensive disease, including distant metastases, meaning a cure is unlikely solely from local radiation. The statement implies a cure for the primary tumor, which contradicts the M2 staging.
Choice B rationale
T4 indicates a large primary tumor with extensive local invasion, N2 signifies regional lymph node involvement, and M2 denotes distant metastases to multiple sites. This advanced stage requires comprehensive, palliative care focusing on symptom management and psychosocial support, like gentle touch and therapeutic listening.
Choice C rationale
The T4N2M2 staging indicates advanced, widespread disease, not a response to chemotherapy and radiation. If the tumor had responded and shrunk, the T and N classifications would likely be lower. Reducing analgesia would be inappropriate as pain management is crucial in advanced cancer.
Choice D rationale
This statement contradicts the T4 staging, which denotes a large primary tumor, not one that has shrunk. While some lymph nodes may remain involved (N2), the primary tumor's extensive nature (T4) and the presence of distant metastases (M2) define a more advanced and aggressive disease state.
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