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?

A. "I hope I can prevent them from being hospitalized again.": While this shows concern, it suggests that the client feels responsible for preventing hospitalization, which can be an unrealistic expectation and reflects potential caregiver burden rather than acceptance.
B. "I will do my best even though I feel tired all of the time.": This reflects exhaustion and a sense of being overwhelmed, but it does not necessarily indicate acceptance of the role change. The client may still be struggling with the emotional toll of caregiving.
C. "I would like to have information about support groups.": This statement indicates a proactive approach to managing the caregiving role, which suggests that the client is beginning to accept the changes and is seeking resources to help cope. It shows openness to support and adaptation to the role.
D. "It is hard to make time for my children and my family member.": This indicates that the client is struggling with balancing caregiving and family responsibilities, which suggests difficulty in fully accepting the new caregiving role.

A. Blames others for own mistakes: While feelings of guilt or self-blame can occur in PTSD, the focus is usually on the trauma and its effects, not a general tendency to blame others for personal mistakes.
B. Talks excessively: Excessive talking is not a specific symptom of PTSD. Clients with PTSD may have difficulty expressing their feelings or may avoid conversations that bring up traumatic memories.
C. Has difficulty concentrating on set tasks: Difficulty concentrating is a common symptom of PTSD, often due to intrusive thoughts or hypervigilance. The client may find it hard to focus on tasks due to the constant state of alertness or distress.
D. Holds persistent negative beliefs about self: Clients with PTSD often have negative beliefs about themselves, feeling guilty, ashamed, or worthless due to their traumatic experiences. This is a key feature of the disorder, reflecting the impact of trauma on self-perception.
E. Difficulty falling or staying asleep: Sleep disturbances, such as difficulty falling asleep or staying asleep, are common in PTSD due to hyperarousal and nightmares. Clients may have disrupted sleep patterns related to the trauma they experienced.