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Case 3/6

Exhibits

The nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver.

Select the 3 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Involve your mother in the decision making process.

Moving your mother into a care facility will show her that you do not love her.

Helping your mother should be easier than raising a child.

It is okay not to love or like your mother when you are caring for her.

Take time for yourself and the other relationships that you care about.

Saying "no" to things involving the care of your mother is a selfish action.

You made a promise to your mother that you need to keep.

Avoid discussion of negative situations that may occur in the future.

Answer and Explanation

Correct Answer : A,E,H

A.   Involve your mother in the decision-making process.
o   Reason: Involving the client in decisions can empower both the client and caregiver, improve the caregiving relationship, and reduce stress. This approach respects the client's autonomy and acknowledges their preferences and needs.
E.   Take time for yourself and the other relationships that you care about.
a.   Reason: Encouraging self-care and maintaining relationships helps prevent burnout and manage caregiver stress. Caregivers need time for rest and personal activities to sustain their well-being and effectiveness.
H. Avoid discussion of negative situations that may occur in the future.
b.   Reason: Focusing on present challenges rather than potential future problems helps reduce anxiety and stress. It’s more constructive to address current issues and develop coping strategies rather than worrying about hypothetical scenarios.

Not Selected Statements:
B. Moving your mother into a care facility will show her that you do not love her.
•   Reason: This statement is incorrect as it fosters guilt and does not acknowledge that placing a loved one in a care facility can be a practical and loving decision based on care needs.
C. Helping your mother should be easier than raising a child.
•   Reason: This statement is misleading and dismissive of the unique challenges of caregiving. Comparing caregiving to parenting undermines the complexity and emotional strain of the caregiver’s role.
D. It is okay not to love or like your mother when you are caring for her.
•   Reason: This statement is inappropriate as it suggests that negative feelings are acceptable, which can exacerbate stress rather than helping to manage it constructively.
F. Saying "no" to things involving the care of your mother is a selfish action.
•   Reason: This statement is incorrect and unhelpful, as setting boundaries is essential for managing caregiver stress and maintaining a balance between caregiving and personal life.
G. You made a promise to your mother that you need to keep.
•   Reason: This statement may create feelings of obligation and guilt. It is important to recognize that caregiving needs may change and it is acceptable to seek support or alternative care options.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Client implements measures to prevent injury: Given the client’s risk factors of poor wound healing, decreased bone density, and increased capillary fragility, preventing injury is crucial for managing the risks associated with Cushing’s syndrome. This outcome directly addresses the safety issues related to the client’s condition.
B. Client describes ways to control disease: While disease management is important, this outcome does not directly address the specific risk factors of poor wound healing, bone density loss, or capillary fragility.
C. Client demonstrates improved body image: Improving body image is a relevant goal but does not directly address the immediate risks posed by Cushing’s syndrome, such as poor wound healing and decreased bone density.
D. Client experiences a normal fluid balance: While fluid balance is important, it is not as directly related to the specific risk factors mentioned (wound healing, bone density, capillary fragility) as the prevention of injury is.

A. Abdominal cramping. B. Low grade fever. C. Bruising of the skin. D. Bloody emesis.

Correct Answer is D

Explanation

A. Abdominal cramping can occur with gastritis but is a common symptom that does not necessarily indicate a severe complication.
B. A low-grade fever may accompany gastritis but is not an urgent symptom that requires immediate reporting.
C. Bruising of the skin is not a typical symptom of gastritis and would not be directly related to acute gastritis caused by contaminated water.
D. Bloody emesis indicates potential gastrointestinal bleeding, which is a serious complication of acute gastritis and requires immediate medical attention to prevent further complications.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing the plan of care for a client diagnosed with Cushing's syndrome and identifies that the client's risk factors include poor wound healing, decreased bone density, and increased capillary fragility. Which outcome statement should the nurse include in the plan of care?

Correct Answer is A

Explanation

The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?

Correct Answer is D

Explanation

In formulating the nursing care plan for a client diagnosed with Parkinson's disease, which nursing problem has the highest priority?

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