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?
Discuss relaxation techniques with the caregiver.
Refer the caregiver to a local support group.
Consult social services to explore counseling for the caregiver.
Offer to talk with the caregiver about their feelings.
The Correct Answer is D
Choice A reason:
Discussing relaxation techniques with the caregiver is a beneficial action that can help manage stress. However, it may not be the most immediate need for a caregiver who is in the midst of an emotional crisis. Relaxation techniques are more preventive and are best introduced when the caregiver is receptive and not overwhelmed by acute distress.
Choice B reason:
Referring the caregiver to a local support group is an excellent long-term strategy for providing support and resources. Support groups can offer a sense of community and shared experience, which is invaluable. Nonetheless, this action does not address the caregiver's immediate emotional needs and should follow after providing immediate emotional support.
Choice C reason:
Consulting social services to explore counseling options is an important step in supporting the caregiver's mental health. Counseling can provide professional assistance and coping strategies for the caregiver's stress and emotional burden. However, this is a step that should be taken after addressing the caregiver's immediate emotional distress.
Choice D reason:
Offering to talk with the caregiver about their feelings is the most immediate and direct way to provide support. It addresses the caregiver's current emotional state and provides an outlet for their feelings. Active listening and empathetic communication can help alleviate the caregiver's distress and serve as a bridge to further support and resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While being oriented to person, place, and time is important, it does not necessarily indicate that the client is no longer a risk to themselves or others. Orientation alone does not ensure that the client can safely be without restraints.
Choice B reason:
Refusing medication unless released from restraints is a form of coercion and does not indicate that the client is safe to be without restraints. The decision to remove restraints should be based on the client's ability to follow commands and demonstrate safe behavior, not on their demands.
Choice C reason:
If a client states that they will harm themselves unless the restraints are removed, this indicates a high risk of self-harm. In such cases, restraints should not be removed until the client is assessed and deemed safe by a healthcare professional.
Choice D reason:
The ability to follow commands is a key indicator that the client can be safely managed without restraints. This demonstrates that the client is cooperative and can adhere to safety instructions, reducing the risk of harm to themselves or others.
Correct Answer is B
Explanation
Choice A reason:
Staying in bed on days when feeling exhausted may seem like a reasonable self-care behavior, especially for someone with major depressive disorder. However, excessive bed rest can actually exacerbate depressive symptoms. It's important to balance rest with activities that promote a sense of accomplishment and well-being.
Choice B reason:
Using coping mechanisms that have been helpful in the past is a sign of understanding self-care teachings. It shows the client is applying learned strategies to manage their symptoms and is taking an active role in their own care. This proactive approach is encouraged in managing major depressive disorder.
Choice C reason:
While it may be necessary to avoid certain triggers, consistently avoiding talking about upsetting events can lead to suppression of emotions, which is not a healthy coping strategy. It's important for individuals with depression to express their feelings and work through their emotions.
Choice D reason:
Relying on a partner to plan out one's schedule every day can create dependency and reduce the sense of personal control and autonomy. While support from loved ones is valuable, the individual should be encouraged to take responsibility for their own schedule as part of their self-care routine.
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