A home health nurse is visiting a client who has advanced Alzheimer's disease.
The client's partner states, "I miss being able to go places with my friends.”. Which of the following is an appropriate response by the nurse?

"We can discuss this when you're not feeling overwhelmed.”.

"Have you tried taking your partner with you when you go out?"

"Tell me more about your expectations.”.

"I understand how you feel. I've had a relative go through the same thing.”

Answer and Explanation

The Correct Answer is C

Choice A rationale

Telling the client's partner to discuss their feelings when not feeling overwhelmed is dismissive. It does not address their current emotional state or offer support. This response can make the partner feel unheard and may not provide immediate relief or understanding.

Choice B rationale

Suggesting that the partner take the client with them when going out may not be practical, especially considering the advanced stage of Alzheimer's disease. This response can show a lack of understanding of the challenges faced by caregivers of individuals with severe cognitive impairment.

Choice C rationale

Asking the partner to share more about their expectations opens a dialogue and shows empathy. It allows the nurse to understand the partner’s feelings and needs better, providing an opportunity for supportive and individualized advice.

Choice D rationale

While expressing understanding and sharing a personal experience might build rapport, it can shift the focus away from the partner's feelings and needs. The nurse should remain client-centered, providing support specific to the partner's situation rather than comparing it to their own.

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Correct Answer is B

Explanation

Choice A rationale

The sides of the sling are not designed for the client to hold on to, as this could compromise safety. Clients should keep their hands away to prevent injury and ensure stability during the transfer.

Choice B rationale

Mechanical lifts are designed to assist clients who cannot help themselves due to limited mobility or strength. This device ensures safe transfer without requiring the client's physical assistance, reducing the risk of injury to both the client and the caregiver.

Choice C rationale

Positioning the sling's lower end below the client's calves is incorrect. The correct positioning is beneath the client's thighs and around the upper body to provide adequate support during the lift. Incorrect placement can lead to discomfort or injury.

Choice D rationale

Mechanical lifts do not require the client to use upper body strength. These devices are specifically intended to aid clients with minimal or no ability to support themselves, thereby minimizing physical exertion from the client.

A. A client who has ulcerative colitis. B. A client who has cholecystitis. C. A client who uses laxatives. D. A client who has stomatitis.

Correct Answer is A

Explanation

Choice A rationale

Ulcerative colitis often results in inflammation and ulcers in the colon lining, which can lead to bleeding and a positive fecal occult blood test. This is a common complication of the condition.

Choice B rationale

Cholecystitis, an inflammation of the gallbladder, does not typically cause gastrointestinal bleeding or a positive fecal occult blood test. It is more associated with abdominal pain and digestive issues.

Choice C rationale

The use of laxatives generally does not cause internal bleeding that would result in a positive fecal occult blood test. Laxatives are more likely to cause changes in bowel habits and diarrhea.

Choice D rationale

Stomatitis, inflammation of the mouth, is unlikely to cause a positive fecal occult blood test. It primarily affects the oral cavity and is not associated with gastrointestinal bleeding. .

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A home health nurse is visiting a client who has advanced Alzheimer's disease. The client's partner states, "I miss being able to go places with my friends.”. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is A

Explanation

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A home health nurse is visiting a client who has advanced Alzheimer's disease.
The client's partner states, "I miss being able to go places with my friends.”. Which of the following is an appropriate response by the nurse?