A daughter tells the nurse that her mother is frequently ...

[WhattoUnderstand]

A daughter tells the nurse that her mother is frequently confused, but what is really upsetting is that she is incontinent during the night. All I do is watch her and wash sheets, the daughter says.
 
  Which of the following suggestions should the nurse provide to the daughter?
  a.
  Explain about respite care or the need to ask other family members to help so the daughter can have some time off
  b.
  It's time to have her mother go into a nursing home where they can give her the care she needs.
  c.
  Refer the daughter to Adult Protective Services so responsibility for her mother's care may be assumed by an agency prepared for such tasks
  d.
  Teach the daughter how to establish a toileting routine for the mother to help control the incontinence

Question 2

A wife, who had just come home after major abdominal surgery, explained to the home health nurse that she was really worried about her husband.
 
  He had not been sleeping well or eating well, seemed to have no energy, and did not seem to enjoy anything including activities he used to love. Which of the following suggestions should the nurse give to the client?
  a.
  Ask what medications the husband is taking, because many medications can affect mood
  b.
  Explain her husband has probably been worried sick about her and the surgery, and she should reassure him frequently that she is OK
  c.
  Point out that many people get sad during the winter months and he should be fine when spring arrives, but in the meantime put full-spectrum light bulbs in all the household lamps
  d.
  Share that her husband seems depressed and that they should see his doctor immediately

[macmac]

Answer to Question 1

ANS: A
The best approachbecause the daughter is willing to share her feelings with youis to see whether there is anyone else in the family to help so the daughter can be less overwhelmed. If the mother has Alzheimer's, any number of resources are available for respite for the caregiver, support groups for both client and family, and day care facilities for the client. Adult Protective Services assists in cases of abuse. The daughter is stressed and may become an abuser if assistance is not found. A toileting routine would probably not be successful during the night. Although a nursing home is possible, many families cannot afford such care or do not want a family member sent there.

Answer to Question 2

ANS: D
Depressed people may experience several or all of the following symptoms: changes in appetite or weight, changes in sleep patterns, restlessness, loss of energy, feelings of worthlessness or guilt, and repeated thoughts of death or suicide. If any of these symptoms exist, the client should be referred to a physician for diagnosis. A physician can only make a diagnosis of clinical depression in the presence of five or more of the symptoms mentioned above.