A home health nurse is visiting with 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 apologize for the dishes piling up in the kitchen sink."

I am still trying to rearrange the furniture so they can use their walker."

"I have a neighbor coming over so I can go get my hair cut and styled."

"I will need financial assistance if I don't get back to my job soon."

Answer and Explanation

The Correct Answer is C

A. "I apologize for the dishes piling up in the kitchen sink":

Apologizing for the dishes piling up may indicate a sense of stress or feeling overwhelmed, rather than adapting positively to the caregiving role.

B. "I am still trying to rearrange the furniture so they can use their walker":

While rearranging furniture to accommodate the client's needs is helpful, it doesn't necessarily reflect adaptation to the caregiver role in terms of self-care or seeking external support.

C. "I have a neighbor coming over so I can go get my hair cut and styled."

This statement suggests that the caregiver is seeking support from a neighbor, allowing them to take a break and prioritize self-care by getting their hair cut and styled. Seeking assistance and taking time for personal well-being indicate an adaptive approach to the caregiving role.

D. "I will need financial assistance if I don't get back to my job soon":

Expressing a need for financial assistance due to the inability to return to work may suggest financial concerns but doesn't directly indicate adaptation to the caregiving role. Adaptation involves finding effective ways to manage the caregiving responsibilities while addressing personal needs.

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Correct Answer is A

Explanation

A. The child has recent onset of urinary incontinence.

Correct: The sudden onset of urinary incontinence may be a sign of emotional or physical abuse, and it warrants further investigation.

B. The child has bruises on both knees.

Incorrect: Bruises on the knees might be common in children due to regular activities like playing. While bruises can be a concern, they may not necessarily indicate maltreatment.

C. The child reports having a toothache.

Incorrect: A toothache, on its own, is not a typical sign of maltreatment. It may be related to dental issues or other health factors.

D. The child receives free lunches at school.

Incorrect: Receiving free lunches does not indicate maltreatment. It may be a sign of economic need, but it is not directly related to potential abuse.

A. Clostridium difficile B. Respiratory syncytial virus (RSV) C. Disseminated herpes zoster D. Influenza

Correct Answer is C

Explanation

A. Clostridium difficile

Clostridium difficile is primarily transmitted via the fecal-oral route, and standard precautions (including hand hygiene and contact precautions) are appropriate for preventing its spread.

B. Respiratory syncytial virus (RSV)

RSV is primarily transmitted through respiratory droplets, and standard precautions, as well as contact precautions, are typically sufficient to prevent transmission.

C. Disseminated herpes zoster

Explanation: Airborne precautions are required for diseases that are transmitted via small droplets that remain suspended in the air. Disseminated herpes zoster (shingles) is one such condition that requires airborne precautions due to the potential for airborne transmission.

D. Influenza

Influenza is primarily transmitted through respiratory droplets, and standard precautions (including hand hygiene, respiratory hygiene, and mask use) are typically employed to prevent transmission. Airborne precautions are not routinely required for influenza.

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A home health nurse is visiting with 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?

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