An older woman diagnosed with Alzheimer's disease lives with ...

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An older woman diagnosed with Alzheimer's disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother.
 
  She's awake all night. I never get any sleep. Which nursing intervention has priority?
 
  a. Teach the caregiver about the effects of sundowner's syndrome.
  b. Secure additional resources for the mother's evening and night care.
  c. Support the caregiver to grieve the loss of the mother's cognitive abilities.
  d. Teach the family how to give physical care more effectively and efficiently.

Question 2

An adult has a history of physical violence against family when frustrated, followed by periods of remorse after each outburst. Which finding indicates a successful plan of care? The adult:
 
  a. expresses frustration verbally instead of physically.
  b. explains the rationale for behaviors to the victim.
  c. identifies three personal strengths.
  d. agrees to seek counseling.

[choc0chan]

Answer to Question 1

ANS: B
The patient's caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.

Answer to Question 2

ANS: A
The patient will have developed a healthier way of coping with frustration if it is expressed verbally instead of physically. The incorrect options do not confirm achievement of outcomes.

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Excellent

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TYSM