A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?

Offer to talk with the caregiver about their feelings.

Refer the caregiver to a local support group.

Discuss relaxation techniques with the caregiver.

Consult social services to explore counseling for the caregiver.

Answer and Explanation

The Correct Answer is A

A. Offering to talk with the caregiver about their feelings provides immediate support and validation of their emotions. It allows the caregiver to express their concerns and stressors, which can help alleviate some of the caregiver's distress.
B. Referring the caregiver to a local support group is a helpful intervention but may not address the caregiver's immediate emotional needs. Offering immediate support by listening and empathizing is the first step.

C. Discussing relaxation techniques with the caregiver may be beneficial, but addressing the caregiver's emotional distress should take precedence.
D. Consulting social services to explore counseling for the caregiver is a valuable intervention, but offering immediate support by engaging in a conversation about their feelings is the most appropriate initial action.

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Correct Answer is D

Explanation

A. Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications.
B. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications.
C. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors.
D. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.

A. Change the subject when the client becomes upset. B. Discourage the client from forming new relationships. C. Allow the client unlimited time for the grieving process D. Offer the client advice about various treatment choices.

Correct Answer is C

Explanation

A. Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B. Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C. Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

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A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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