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office visit, a nurse is obtaining an older adult client’s vital signs and notices the caregiver is very quiet and withdrawn.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 D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
The number of requests for pregnancy testing being higher than last year does not necessarily indicate that the Healthy People 2030 objectives are being addressed. It could suggest an increase in sexual activity among the students, which could lead to an increase in sexually transmitted infections or unplanned pregnancies if not managed properly.
Choice B rationale
A decrease in the number of sick days could suggest an improvement in the overall health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of students participating in physical education or the overall health of the student population, should also be considered.
Choice C rationale
An increase in the number of students participating in physical education could suggest an improvement in the physical health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of sick days or the overall health of the student population, should also be considered.
Choice D rationale
An improvement in the overall health of the student population is the best indication that the Healthy People 2030 objectives are being addressed. The Healthy People 2030 objectives aim to improve health and well-being nationwide. Therefore, an improvement in the overall health of the student population suggests that these objectives are being met.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
While reinforcing instructions can boost a patient’s self-confidence, it may not be effective for an elderly patient with Parkinson’s disease who is unable to administer ophthalmic medication due to hand tremors. The physical limitation caused by the tremors may not be overcome by further instruction.
Choice B rationale
If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.
Choice C rationale
While obtaining a prescription for a visiting nurse to administer the medication twice a day could ensure the patient receives their medication, it may not be the most practical or cost- effective solution. It also depends on the availability of such services in the patient’s area.
Choice D rationale
Documenting the patient’s inability to administer the medication without assistance is important for record-keeping and communicating with other healthcare providers. However, it does not address the immediate issue of ensuring the patient receives their necessary medication.
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