A nurse makes a home visit to a family caring for a client with ...

[mydiamond]

A nurse makes a home visit to a family caring for a client with Alzheimer's disease. The client's wife tells the nurse that she hasn't been out of the house for more than 2 weeks because her sister has been unable to help care for the client.
 
  Which nursing diagnosis would the nurse identify as the priority?
 
  A) Ineffective Family Coping related to care of a client with Alzheimer's disease
  B) Risk for Activity Intolerance related to Alzheimer's disease
  C) Caregiver Role Strain related to social isolation
  D) Powerlessness related to seclusion and long-term care of client

Question 2

A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?
 
  A) Anticholinergics
  B) Dopamine agonists
  C) Anxiolytics
  D) Benzodiazepines

[anoriega3]

Answer to Question 1

Ans: C
Although family coping, activity intolerance, and powerlessness may be issues, the priority nursing diagnosis is Caregiver Role Strain related to social isolation, as evidenced by the wife's statement of not being out of the house for 2 weeks. The nurse should assist the client's wife in obtaining respite care if it is available.

Answer to Question 2

Ans: A
Medical treatment of people with Parkinson's disease typically involves anticholinergics and dopamine agonists. In clients with dementia caused by Parkinson's disease, anticholinergic medications are likely to increase cognitive impairment.