Author Question: A husband has agreed to admit his spouse, diagnosed with Alzheimer's disease (AD), to a long-term ... (Read 39 times)

newyorker26 · **on:** Jul 19, 2018

A husband has agreed to admit his spouse, diagnosed with Alzheimer's disease (AD), to a long-term care facility. He is expressing feelings of guilt and symptoms of depression.

Which appropriate nursing diagnosis and subsequent intervention would the nurse document? 1. Dysfunctional grieving; AD support group
2. Altered thought process; AD support group
3. Major depressive episode; psychiatric referral
4. Caregiver role strain; psychiatric referral

Question 2

The new nurse confides to his supervisor, I am feeling frustrated. Mr. J has been doing so well in dealing with his issues over the last month, and today he refused to discuss anything productive in our session.

What is the most appropriate response? a. You are still in the preparation phase and need to check the medical record for information.
b. The orientation phase is a time where in which the client is building trust and testing you.
c. During the working phase the client may have growth and resistance.
d. The termination phase is a difficult one for both nurse and client.

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

Answer to Question 1

1
Rationale: The most appropriate nursing diagnosis and intervention for the husband is dysfunctional grieving; AD support group. Clients with AD are often at risk for trauma and have significant self-care deficits that require more care than a spouse may be able to provide.

Answer to Question 2

C
The working phase of the therapeutic relationship has periods of growth that are accompanied by episodes of resistance. Changing one's behavior is very hard work. It requires energy and self-disclosure. Clients often feel self-conscious, shameful, and vulnerable during this time.