During a routine office visit, a nurse is obtaining an older adult client’s vital signs and notices the caregiver is very quiet and withdrawn.
When asked, the caregiver acknowledges feeling exhausted from caring for the client 24 hours a day. What is the best information for the nurse to provide?
Suggest that social services be contacted to find a respite care facility for the client.
Tell the caregiver to consider hiring a private nurse to provide some time away.
Advise a case management evaluation of the client’s home environment.
Recommend that the client’s family return to the area to help provide assistance.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client’s home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care. Therefore, suggesting that social services be contacted to find a respite care facility for the client would be the best information for the nurse to provide.
Choice B rationale
Hiring a private nurse, also known as concierge nursing, is another option for providing relief to caregivers. However, this option might not be feasible for all families due to the potential cost. Moreover, it might not provide the caregiver with the same level of relief as respite care, as the caregiver might still feel obligated to be involved in the client’s care.
Choice C rationale
A case management evaluation of the client’s home environment could be helpful in assessing the client’s needs and identifying potential resources or modifications that could make caregiving easier. However, this does not directly address the caregiver’s need for rest and relief from their duties.
Choice D rationale
Recommending that the client’s family return to the area to help provide assistance could potentially provide some relief to the caregiver. However, this might not be a feasible or immediate solution, as it depends on the family’s availability and willingness to relocate or travel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Primary prevention includes measures that prevent the occurrence of a specific disease or health condition. In the context of sexually transmitted infections (STIs), primary prevention would involve education on safe sex practices. This could include information on the use of condoms, the importance of regular STI testing, and the risks associated with having multiple sexual partners. Given the client’s history of multiple sexual partners and recurrent symptoms suggestive of STIs, education on safe sex practices would be an appropriate preventive strategy.
Choice B rationale
Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Regular screenings for STIs fall under this category. However, given that the client has visited the clinic three times in the past 12 months with similar concerns but no STIs were diagnosed, secondary prevention may not be the most appropriate focus for this client.
Choice C rationale
Tertiary prevention involves managing disease post diagnosis to slow or stop disease progression through measures such as medication management and lifestyle changes. Education regarding prescribed treatments for STIs would fall under this category. However, since the client has not been diagnosed with an STI in her previous visits, tertiary prevention would not be the most appropriate focus for this client.
Choice D rationale
Quaternary prevention involves strategies to reduce or avoid unnecessary interventions in the health care system. This could include avoiding unnecessary diagnostic tests or treatments.
Given the client’s history and current symptoms, focusing on quaternary prevention would not be appropriate as it is important to identify the cause of her symptoms and provide appropriate treatment.
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.
Choice B rationale
Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
Choice C rationale
Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.
Choice D rationale
Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.
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