Author Question: A nurse is planning care for a family whose loved one has received a diagnosis of dementia. The ... (Read 92 times)

imowrer · **on:** Jul 19, 2018

A nurse is planning care for a family whose loved one has received a diagnosis of dementia. The family must now make decisions about the loved one's care. Which is an appropriate nursing intervention?

A) Provide knowledge about the disease and the skills necessary to manage it.
B) Encourage open discussion among family members about any unresolved issues or resentments they may have with the afflicted family member.
C) Determine the combined financial resources of family members who will underwrite the cost of the care.
D) Encourage placement of the family member with the caregiver who can best manage the client.

Question 2

A patient tearfully says to a nurse, I don't want to go on living now that my spouse has left me for someone else after 20 years. Our children are grown and don't need me. I just want to die.. Which response is the most therapeutic?

a. You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses..
b. It always seems bleak when we lose someone we've loved. Don't worry, it will work outwe just need to think this through..
c. So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better..
d. I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now..

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

Answer to Question 1

A

Answer to Question 2

D
The patient is demonstrating the cognitive distortions of dichotomous thinking (thinking in extremes) and overgeneralization. The patient is clearly in crisis and may be experiencing suicidal ideation. By identifying the most important problem and giving the patient permission to view one problem at a time with the therapist, the nurse is supporting effective problem solving by the patient. Using a cognitive behavioral approach, the nurse is able to perform a lethality assessment and then help the patient to expand alternatives and become a more flexible thinker.