A nurse is caring for an 84-year-old female client in her home and is discussing caregiver stress with the client’s daughter.
Involve your mother in the decision-making process.
It is okay not to love or like your mother when you are caring for her.
Moving your mother into a care facility will show her that you do not love her.
Avoid discussion of negative situations that may occur in the future.
Saying "no" to things involving the care of your mother is a selfish action.
Take time for yourself and the other relationships that you care about
Correct Answer : A,B,F
Choice A rationale: Including the client in decisions promotes autonomy and reduces power struggles. This collaborative approach can decrease the emotional burden and resentment often felt by primary caregivers.
Choice B rationale: Caregiving can trigger complex, conflicting emotions including anger or detachment. Acknowledging that these feelings are normal helps prevent caregiver guilt and promotes better mental health.
Choice C rationale: Suggesting that facility placement equals a lack of love increases caregiver guilt. Professional care is often a necessary medical decision to ensure the safety of both parties.
Choice D rationale: Avoiding future planning leads to crisis-driven decision-making, which is highly stressful. Proactive discussions about end-of-life or long-term care needs reduce anxiety for the family.
Choice E rationale: Setting boundaries is essential for preventing burnout and is not selfish. Caregivers must recognize their own limitations to provide sustainable, high-quality care for their loved ones.
Choice F rationale: Maintaining a personal identity and social support network is a primary defense against isolation. Respite and self-care are clinically necessary to prevent physical and emotional exhaustion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Reporting the client's jaw pain to the healthcare provider is crucial because jaw pain is a potential symptom of osteonecrosis of the jaw (ONJ), a rare but serious side effect of bisphosphonates like alendronate. ONJ involves the death of bone tissue in the jaw, leading to significant complications. Early intervention and management are essential to prevent further deterioration and address any underlying issues.
Choice B rationale
Determining how the client is administering the medication is important but not the immediate priority when addressing jaw pain, which could indicate a serious complication. Ensuring proper administration can prevent future issues but does not address the immediate concern of potential ONJ.
Choice C rationale
Advising the client to gargle with warm salt water twice daily may provide temporary relief from minor oral discomfort but is not appropriate for addressing potential osteonecrosis of the jaw. This suggestion does not address the underlying cause of jaw pain in a client taking bisphosphonates.
Choice D rationale
Confirming that jaw pain is a common symptom of osteoporosis is incorrect. While musculoskeletal pain can be associated with osteoporosis, jaw pain in a client taking alendronate may indicate osteonecrosis of the jaw, a serious condition requiring prompt medical attention.
Correct Answer is C
Explanation
Choice A rationale
Consulting with a nurse who shares the same religious beliefs may provide insight, but it may not fully address the client's unique care preferences and individual needs.
Choice B rationale
Researching the religion on social media platforms can offer information, but it is not a substitute for understanding the client's specific preferences and requirements.
Choice C rationale
Asking the client about individual care preferences is the best approach, ensuring that care is personalized and respectful of the client's religious beliefs, leading to better compliance and satisfaction.
Choice D rationale
Explaining that every client receives the same high level of care is important but does not address the client's specific religious concerns and preferences.
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