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Exhibits

The practical nurse (PN) 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 PN 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 PN should include when discussing caregiver stress with the client's daughter.

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

Involve your mother in the decision making process.

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

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

Helping your mother should be easier than raising a child.

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

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

Answer and Explanation

Correct Answer : B,D,F

A. Avoid discussion of negative situations that may occur in the future.
Not Applicable
Avoiding discussions about potential negative situations is not helpful in addressing caregiver stress. Open and honest conversations about future challenges can prepare caregivers and help them develop coping strategies. Addressing potential issues proactively supports both the caregiver and the care recipient.
B. Involve your mother in the decision-making process.
Applicable
Involving the mother in decision-making helps to validate her feelings and preferences, which can alleviate some of the caregiver’s stress. Shared decision-making respects the mother’s autonomy and can reduce feelings of resentment or frustration from the daughter. This approach fosters a collaborative environment that can ease the caregiver’s burden.
C. Saying "no" to things involving the care of your mother is a selfish action.
Not Applicable
Saying "no" is not a selfish action but a necessary step for maintaining personal well-being. Encouraging caregivers to set boundaries is crucial for managing stress and preventing burnout. Supportive statements should affirm that self-care is essential for effective caregiving.
D. It is okay not to love or like your mother when you are caring for her.
Applicable
Acknowledging that it is okay not to have positive feelings towards the person being cared for can reduce caregiver guilt and stress. Caregivers may experience complex emotions, and recognizing these feelings as normal helps them manage their roles more effectively. This statement supports emotional honesty and resilience in caregiving.
E. Helping your mother should be easier than raising a child.
Not Applicable
Comparing caregiving to raising a child dismisses the unique challenges of elder care and can invalidate the caregiver’s stress. Each caregiving situation is different, and caregivers should be encouraged to recognize and address the specific difficulties they face. Comparisons can be unhelpful and diminish the caregiver’s experiences.
F. Take time for yourself and the other relationships that you care about.
Applicable
Encouraging caregivers to take time for themselves is essential for preventing burnout and maintaining overall well-being. Self-care helps caregivers manage stress and sustain their own health and relationships. This approach supports the caregiver’s needs and acknowledges the importance of balance.
G. You made a promise to your mother that you need to keep.
Not Applicable
Emphasizing promises can increase feelings of guilt or obligation rather than addressing the caregiver’s stress. Caregiver support should focus on practical strategies for managing stress rather than reinforcing burdensome promises. This statement can exacerbate feelings of pressure and strain

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is "{\"xRanges\":[209.4270782470703,249.4270782470703],\"yRanges\":[92.1666259765625,132.1666259765625]}"

Explanation

A. Based on the understanding of 90-90 skeletal traction and the common complications associated with pin sites, the practical nurse should focus on assessing the areas around the pin insertion sites in the femur and possibly the tibia for any signs of inflammation.

B. the back is not the correct location

C. The sole of the foot is not the correct location

D. The unaffected limb is not the appropriate location.

A. Place the drink where the client can reach from her bed B. Encourage drinks with high sugar content C. Only offer water or other clear drink D. Ask the client what her favorite drink is E. Offer both hot and cold drinks F. Suggest popular drinks like coffee or soda

Correct Answer is ["A","D","E"]

Explanation

A. Place the drink where the client can reach from her bed
Placing the drink where the client can easily reach it encourages regular fluid intake. Accessibility is key for clients who may be feeling weak or fatigued, especially when dealing with symptoms of illness like fever and cough. Ensuring that fluids are within reach minimizes barriers to drinking and supports better hydration efforts.
B. Encourage drinks with high sugar content
Drinks with high sugar content are not ideal for promoting adequate fluid intake. High sugar content can worsen symptoms like nausea or dehydration and may lead to increased thirst or gastrointestinal upset, which is counterproductive to encouraging fluid intake. Offering fluids with balanced electrolytes and moderate sugar content is more beneficial.
C. Only offer water or other clear drink
Offering only water or clear drinks can be too restrictive and may not meet the client's preferences or needs. While clear liquids are appropriate, incorporating a variety of fluids can improve hydration and patient satisfaction. It is beneficial to offer options that the client might find appealing.
D. Ask the client what her favorite drink is
Asking the client for her favorite drink engages her in the decision-making process and increases the likelihood of her consuming more fluids. Personal preferences can significantly affect fluid intake, and offering drinks she likes can help in achieving adequate hydration.
E. Offer both hot and cold drinks
Offering both hot and cold drinks can cater to the client’s preferences and provide comfort, which may encourage her to drink more fluids. Variety in temperature can make drinking fluids more appealing, especially if the client is feeling unwell or has specific preferences.
F. Suggest popular drinks like coffee or soda
Suggesting coffee or soda is not recommended due to their diuretic effects and potential for dehydration. Coffee and soda can also interfere with electrolyte balance and are generally not suitable for hydration in a clinical setting where the goal is to address fluid volume deficit

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) assesses a child in 90-90 skeletal traction. It is most important for the PN to assess for signs of inflammation at which location? (Select the correct location on the image)

Correct Answer is "{\"xRanges\":[209.4270782470703,249.4270782470703],\"yRanges\":[92.1666259765625,132.1666259765625]}"

Explanation

Exhibits The practical nurse (PN) would like to encourage the client to take oral fluids so that the IV fluids can eventually be discontinued. Which three strategies would be most effective in getting a client to consume adequate oral fluids?

Correct Answer is ["A","D","E"]

Explanation

Exhibits Review H and P, nurse's note, laboratory results, prescriptions, and imaging studies. What complications should the practical nurse (PN) monitor for in the next 6 to 8 hours? Select all that apply.

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The practical nurse (PN) and unlicensed assistive personnel (UAP) are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. Which action should the PN implement?

When the practical nurse (PN) attempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here! I'll get up when I'm ready!" Which response is best for the PN to make?

An older adult client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is most important for the PN to implement?

When administering a saline enema, the practical nurse (PN) inserts the enema tubing three inches into the client's rectum, and elevates the container six inches above the client's body. When the clamp is opened, the solution does not infuse. Which action should the PN take?

Exhibits Click to mark whether the following are signs and symptoms of cerebral edema, respiratory distress, or both.