A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?
"I will need financial assistance if I don't get back to my job soon."
"I have a neighbor coming over so I can go get my hair cut and styled."
"I apologize for the dishes piling up in the kitchen sink."
"I am still trying to rearrange the furniture so they can use their walker."
The Correct Answer is B
Choice A reason: This statement reflects concern about personal finances rather than adaptation to the caregiving role. It indicates stress related to balancing work and caregiving responsibilities.
Choice B reason: Arranging for a neighbor to come over demonstrates proactive planning and the ability to delegate responsibilities, which are important aspects of adapting to a caregiving role.
Choice C reason: Apologizing for untidiness may indicate feeling overwhelmed, which can be a sign of difficulty in adjusting to the new responsibilities of caregiving.
Choice D reason: Trying to rearrange the furniture for walker use shows consideration for the client's needs but also suggests ongoing challenges with adapting the living environment for care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I don't want to lose control of my ability to make decisions." This statement reflects a fear of losing autonomy, which is common among individuals with chronic illnesses. While it indicates anxiety and concern about the future, it does not directly suggest suicidal ideation.
B. "I am afraid of experiencing pain near the end." This response shows a fear of suffering and pain, which is also common in terminal illnesses. Although it indicates distress, it does not necessarily imply a risk for suicide.
C. "I know that everything will be better soon." This statement can be a red flag for suicidal ideation, as it may imply that the person believes death is imminent or that they have a plan to end their suffering. It suggests a sense of hopelessness and a potential desire to escape their current situation.
D. "I am relying more and more on my partner for support." This response indicates a need for increased support and dependency on a partner. While it shows a reliance on others, it does not directly suggest suicidal thoughts or intentions.
Correct Answer is C
Explanation
Choice A reason: Evaluating the methods of successful smoking cessation programs is an important step in planning a smoking cessation program, but it is not the first action the nurse should take. The nurse needs to assess the needs and characteristics of the target population before selecting the most appropriate methods and interventions¹.
Choice B reason: Gaining community support for the program is a key factor in ensuring the program's sustainability and effectiveness, but it is not the first action the nurse should take. The nurse needs to identify the stakeholders and partners who can help with the program's implementation and evaluation².
Choice C reason: Determining the prevalence of smoking in the community is the first action the nurse should take. This is an assessment step that will help the nurse estimate the magnitude of the problem, identify the risk factors and barriers, and prioritize the goals and strategies for the program³.
Choice D reason: Formulating objectives for the smoking cessation program is a planning step that requires assessment data. The nurse should not formulate objectives without first determining the prevalence of smoking in the community and the needs and preferences of the potential participantsā“.
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