A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

A. While this statement aims to offer reassurance, it may come off as dismissive of the client’s current feelings. The client is expressing deep emotions, and saying "everything will be okay" may minimize their experience. It’s better to acknowledge their feelings rather than trying to immediately reassure them without understanding the root of their distress.
B. This response invites the client to express their feelings and thoughts but may come off as interrogative or insensitive, especially if the client is already upset. It might not provide the emotional support the client needs in that moment. A better approach would be to validate their emotions first.
C. This response could be perceived as judgmental or sarcastic, potentially making the client feel invalidated or misunderstood. It does not offer the support they need and may discourage them from expressing their feelings further.
D. This response shows empathy and respect for the client’s feelings. By acknowledging their need for space while also expressing a willingness to engage later, the nurse is providing a supportive approach. It allows the client to feel heard and valued without forcing them to communicate when they may not be ready.

A. While sporting accidents can lead to spinal cord injuries, they are more prevalent in younger populations who are more physically active. In older adults, the likelihood of sustaining a spinal cord injury from sports is relatively low compared to other causes.
B. Gunshot wounds are a significant cause of spinal cord injuries, but they are not common in older adults. This type of injury is more frequently seen in younger individuals, particularly in areas with higher rates of violence or firearms.
C. Motor vehicle accidents can cause spinal cord injuries, but their prevalence in older adults has decreased in recent years due to improved safety features in vehicles and the tendency for older adults to drive less frequently. While still a risk, they are not the leading cause.
D. Falls are the most common cause of spinal cord injuries in individuals aged 65 and older. As people age, they experience changes in balance, strength, and mobility, increasing their risk of falls. Falls can lead to serious injuries, including fractures and spinal cord injuries, making this the primary concern in this age group.