Author Question: A patient, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to ... (Read 92 times)

clmills979 · **on:** Jul 19, 2018

A patient, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a day care facility on weekdays. The family cares for her during the evening and at night.

Noting the patient had several bruises, the nurse discussed her observations with the daughter, who became defensive and said that her mother was very difficult to manage because she is confused and wanders all night. She says the bruises resulted from a fall down stairs. The daughter states, I have lost my mother, and I cannot bear it anymore. It is wrecking my family.. The nursing intervention that should take priority is: a. teaching the daughter more about the effects of Alzheimer's disease.
b. identifying two options for caregiver respite and care assistance at night.
c. supporting the daughter to grieve the loss of her mother's ability to function.
d. teaching the family how to give physical care more effectively and efficiently.

Question 2

Infants who experience nurturing environments develop the ability to:

a. Test others.
b. Trust others.
c. Manipulate others.
d. Model others' behaviors.

b614102004 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The patient's daughter and her family were coping with care until the patient began to wander more at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. They would benefit from periodic respite from the demands of caregiving in order to reduce distress within the family. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may be accomplished thereafter.

Answer to Question 2

B
When the infant's needs are consistently met, a sense of trust and self-worth develops.