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Patient Data

Exhibits

The nurse uses the Modified Caregiver Strain Index (MCSI) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse 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 nurse should include when discussing caregiver stress with the client's daughter.

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

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

Involve your mother in the decision making process.

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

Helping your mother should be easier than raising a child.

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

Moving your mother into a care facility will show her that you do not love her.

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

Answer and Explanation

Correct Answer : A,C,F

Rationale:

A. It is okay not to love or like your mother when you are caring for her: Caregiving can cause complex emotional responses, including frustration, resentment, or detachment. Acknowledging these feelings as valid reduces guilt and supports emotional well-being.

B. Avoid discussion of negative situations that may occur in the future: Avoiding difficult conversations prevents proactive planning and increases long-term stress. Suppressing such discussions may result in crisis decision-making.

C. Involve your mother in the decision making process: Including the care recipient in decisions supports autonomy and reduces resistance to care. This also reduces the burden on caregivers by promoting shared responsibility and improving cooperation.

D. Saying "no" to things involving the care of your mother is a selfish action: This statement promotes guilt and discourages boundary-setting. Caregivers need to say “no” when tasks exceed their capacity. Establishing limits is necessary to avoid emotional and physical exhaustion.

E. Helping your mother should be easier than raising a child: Comparing caregiving roles is dismissive and unhelpful. Each caregiving situation presents different challenges, and this mindset invalidates the stress caregivers experience.

F. Take time for yourself and the other relationships that you care about: Encouraging caregivers to nurture their personal lives is key to stress reduction. Taking breaks and maintaining relationships prevents caregiver burnout and preserves emotional resilience.

G. Moving your mother into a care facility will show her that you do not love her: This belief promotes guilt and stigmatizes the use of long-term care services. Sometimes institutional care is the safest. Love is not diminished by choosing professional help.

H. You made a promise to your mother that you need to keep: Rigidly adhering to past promises can harm both caregiver and recipient. As care needs change, so must plans. Encouraging flexibility helps caregivers respond to the current situation, not outdated expectations.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

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

Explanation

Rationale:

A. Shaking that changes the child's handwriting legibility: Sudden onset of tremors affecting fine motor skills may indicate a neurological issue, such as a seizure disorder or early signs of a neurological condition, and requires prompt evaluation by the school nurse.

B. Bruises on both knees after the weekend: Bruises on the knees in children are often consistent with normal play and activity. Unless the bruises are unusual in pattern or location (e.g., upper arms, back), they typically do not require immediate referral.

C. Sunburn with blisters on the face, arms, and hands: Blistering sunburns can lead to dehydration, pain, and secondary infection. Facial involvement and blistering elevate the severity and warrant assessment and possible treatment recommendations.

D. Refuses to complete written homework assignments: While this behavior might suggest learning or behavioral challenges, it is not an urgent health issue requiring immediate referral. Teachers should monitor and possibly refer through academic support services, not directly to the nurse.

E. Thirst and frequent requests for bathroom breaks: These symptoms could be early signs of undiagnosed diabetes mellitus and warrant immediate attention from the school nurse to initiate further assessment and notify the child’s guardian.

A. Recent change in the ability to read and drive after dark. B. Gradual onset of continuous eye pain and blurred vision. C. Cloudy opacity of the crystalline lens. D. Gray-white circle around the iris of both eyes.

Correct Answer is B

Explanation

Rationale:

A. Recent change in the ability to read and drive after dark: This may indicate the onset of cataracts or age-related night vision decline, which is common in older adults. While it should be documented and followed up, it is not considered an urgent or emergent finding.

B. Gradual onset of continuous eye pain and blurred vision: This may suggest the development of angle-closure glaucoma or another serious ocular pathology, where increasing intraocular pressure could lead to permanent vision loss if not treated promptly.

C. Cloudy opacity of the crystalline lens: A cloudy lens is characteristic of cataracts, a common, non-urgent age-related change in older adults. Although it affects vision over time, it progresses slowly and can be addressed during routine follow-up care or elective surgery.

D. Gray-white circle around the iris of both eyes: This describes arcus senilis, a benign finding caused by lipid deposits in the corneal margin. It is common with aging and usually has no impact on vision or underlying pathology requiring urgent referral unless seen in younger adults.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is preparing a presentation for elementary school teachers to inform them when a child should be referred to the school clinic for further follow-up. The teachers should be instructed to report which situations to the school nurse? Select all that apply.

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

Explanation

The nurse is conducting a visual screening of a group of older adults. Which finding should the nurse report to the healthcare provider immediately?

Correct Answer is B

Explanation

In caring for a client with chronic kidney disease (CKD), the nurse notes that the client's serum phosphate level is elevated, with a converse decrease in serum calcium. Which nursing care goal is a priority, based on these laboratory findings?

The nurse receives report on four clients who are reporting an increase in pain. Which client requires immediate intervention by the nurse?

During shift report, the charge nurse receives notice of several problems. Which problem should the nurse address first?

The nurse is planning an educational session for new parents on ways to prevent sudden infant death syndrome (SIDS). Which information is most important to provide parents of newborns and infants?

Exhibits The nurse receives the prescription for sertraline and prepares to give the medication. The nurse reviews the current medication prescription. Click to specify if the intervention is indicated or not indicated. Each row must have only one response selected.

The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available?

The nurse is assessing a client who is experiencing overwhelming anxiety and difficulty performing self-care. Which question should the nurse ask first?