A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his partner. Which of the following actions should the nurse take first?

Suggest that the client's partner see a counselor to help him cope with his exhaustion.

Encourage the client's partner to call a family meeting to ask for help.

Ask the partner to talk about his difficulties in caring for the client.

Recommend that the client's partner place the client in a long-term care facility.

Answer and Explanation

The Correct Answer is C

A: While counseling may eventually be helpful, initially encouraging the partner to express his difficulties provides immediate emotional support and can help assess the needs more clearly.
B: Calling a family meeting may be beneficial, but first understanding the specific struggles can help inform what help is needed from family members.
C: This approach allows the nurse to gather more information about the partner's specific struggles and provide tailored support and resources.

D: Recommending placement in a long-term care facility might eventually be necessary, but it should follow an assessment and discussion of all options and supports available.

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Correct Answer is A

Explanation

A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.

C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.

A. Check the bruises at the next visit to the client's home. B. Institute more frequent visits to the client's home. C. Follow the agency's guidelines for reporting suspected abuse. D. Arrange referral for family therapy to deal with home stressors.

Correct Answer is C

Explanation

A: Checking the bruises at the next visit does not address the immediate safety concerns of the client.
B: Instituting more frequent visits might help in monitoring but doesn't address the immediate issue of suspected abuse.
C: Reporting suspected abuse as per agency guidelines is the most immediate and appropriate action to ensure the client’s safety.
D: Family therapy might be helpful later but does not immediately address or confirm the suspected abuse.

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Naxlex Comprehensive Predictor Exams

In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Correct Answer is A

Explanation

Correct Answer is C

Explanation

A young adult moves to a new town and is unable to establish relationships because of geographical distance to other towns and a sparsely populated community. This young adult is at greatest risk for which of the following?

A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). Which information regarding side effects should be given to the client?

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?

Which of the following is a physical clinical finding of depression in older adults?

A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?

A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?