Author Question: The wife of a patient with moderate to severe dementia tells the nurse, I'm exhausted. He wanders at ... (Read 139 times)

erika · **on:** Jul 19, 2018

The wife of a patient with moderate to severe dementia tells the nurse, I'm exhausted. He wanders at night instead of sleeping, so I get no rest.

I'm afraid to leave him during the day, so I have to take him with me wherever I go. The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome for this teaching would include:
a. Experiences less stress indicated by improved sleep patterns
b. Feels comfortable leaving the patient in the care of others occasionally
c. No longer experiences resentment concerning the need to care for the patient
d. Feels at peace with the decision to admit the patient to an appropriate care facility

Question 2

Which complaint is representative of anxiety in a 6-year-old child?

a. I worry that my dad will get hurt at work.
b. I get a stomach ache when it's my weekend at my dad's house.
c. I can't sleep when I stay at Grandma's because I worry about my mom.
d. I'm not going to sports camp because I don't like being away from my friends.

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

Answer to Question 1

ANS: A
Stress reduction allowing for better rest is an appropriate outcome. The other options are not necessarily appropriate nor will they result in improvement for the caregiver.

Answer to Question 2

ANS: A
Developmental differences exist with regard to the symptoms of anxiety. Children between the ages of 5 and 8 years old most commonly report unrealistic worry about harm to their parents. Between the ages of 9 and 12 years, children report excessive distress during times of separation. Adolescents typically report somatic complaints.