A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Encourage the family to join a support group.
Provide the family with information about respite care.
Educate the family regarding the progression of dementia.
Engage the family in informal conversation.
The Correct Answer is D
Choice A reason: Encouraging the family to join a support group is not the first action that the nurse should take. This is an important intervention that can help the family cope with the challenges and stress of caring for a client who has dementia, but it should be done after the nurse has established rapport and trust with the family.
Choice B reason: Providing the family with information about respite care is not the first action that the nurse should take. This is an important intervention that can help the family access temporary relief from their caregiving responsibilities, but it should be done after the nurse has assessed the family's needs and preferences.
Choice C reason: Educating the family regarding the progression of dementia is not the first action that the nurse should take. This is an important intervention that can help the family understand the nature and course of the disease, and prepare them for the future changes and challenges, but it should be done after the nurse has evaluated the family's level of knowledge and readiness to learn.
Choice D reason: Engaging the family in informal conversation is the first action that the nurse should take. This is based on the principle of communication, which states that the nurse should initiate and maintain a therapeutic relationship with the client and the family. The nurse should use informal conversation to introduce herself, express interest and empathy, and create a comfortable and respectful atmosphere. The nurse should also use open-ended questions, active listening, and nonverbal cues to elicit the family's concerns, expectations, and goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Providing coffee and snacks during the meetings is not an effective intervention, as it does not address the psychological needs of the veterans. Coffee may also worsen the symptoms of PTSD, such as anxiety, insomnia, and irritability, as it is a stimulant.
Choice B reason: Avoiding discussing the traumatic events experienced by the veterans is not a helpful intervention, as it may reinforce the avoidance behavior and prevent the veterans from processing and coping with their trauma. The nurse should encourage the veterans to share their experiences and feelings in a safe and supportive environment, and refer them to appropriate counseling services.
Choice C reason: Changing the meeting sites frequently is not a beneficial intervention, as it may create confusion and stress for the veterans. The nurse should establish a consistent and familiar location for the meetings, and ensure that the veterans feel comfortable and secure.
Choice D reason: Teaching the clients to practice deep breathing exercises is a useful intervention, as it can help the veterans manage their stress and anxiety, and reduce the physiological arousal associated with PTSD. Deep breathing exercises can also promote relaxation and mindfulness, and enhance the veterans' well-being.
Correct Answer is C
Explanation
Choice A reason: Alerting the family members of coworkers about possible exposure to anthrax is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The family members of coworkers are not at risk of infection, and alerting them may cause unnecessary panic and stigma.
Choice B reason: Placing the employee under quarantine for 14 days is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to be isolated from others, and quarantine may interfere with their access to medical care and social support.
Choice C reason: Referring coworkers who might have been exposed to a provider for prophylactic antibiotics is an action that the nurse should take. Anthrax is a serious bacterial infection that can be fatal if left untreated. The coworkers who might have been exposed to the same source of anthrax as the employee should receive prophylactic antibiotics as soon as possible to prevent the infection from developing.
Choice D reason: Instructing the employee to wear a mask at work is not an action that the nurse should take. Anthrax is not contagious, and it cannot be spread from person to person. The employee does not need to wear a mask at work, and doing so may cause unnecessary discomfort and discrimination.
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