A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

Occupational therapy

Palliative care

Respite care

Hospice care

Answer and Explanation

The Correct Answer is C

A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.

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Correct Answer is A

Explanation

A. The nurse has witnessed the client's signature on the form: The nurse’s signature indicates they witnessed the client voluntarily sign the consent form. The nurse does not provide information but confirms that the client signed without coercion.
B. The nurse has assessed the client's knowledge of alternative treatments: Assessing the client’s knowledge of alternatives is typically the provider’s responsibility, not the nurse’s. The nurse’s role is to ensure that the client signed the form voluntarily.
C. The nurse has discussed the risks of ECT with the client: Discussing risks is the provider’s responsibility. The nurse’s role is to observe that the client is signing the form after receiving adequate explanation of risks from the provider.
D. The nurse has provided information about the benefits of ECT: Providing information on benefits is the provider’s role. The nurse can clarify any doubts, but the provider must explain the benefits of the treatment before consent is given.

A. Client withdrawal of prior consent must be done in writing B. Clients can refuse to attend group therapy. C. Clients who are involuntarily committed do not maintain access to legal counsel D. Clients who have a severe mental illness cannot request a psychiatric advance directive.

Correct Answer is B

Explanation

A. Client withdrawal of prior consent must be done in writing: While clients can withdraw consent, it does not always need to be done in writing, depending on the situation. Verbal withdrawal is often sufficient unless specified otherwise.

B. Clients can refuse to attend group therapy: Clients have the right to refuse treatments and therapies, including group therapy, unless they pose a direct threat to themselves or others. This is part of respecting client autonomy.

C. Clients who are involuntarily committed do not maintain access to legal counsel: Clients who are involuntarily committed still have the right to access legal counsel. They have the right to challenge their commitment and consult with an attorney.

D. Clients who have a severe mental illness cannot request a psychiatric advance directive: Clients, regardless of the severity of their mental illness, can request a psychiatric advance directive. This document helps ensure that their treatment preferences are known if they are unable to communicate them during a crisis.

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A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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