Author Question: An older adult with dementia lives with family and attends day care. After observing poor hygiene, ... (Read 26 times)

2125004343 · **on:** Jul 19, 2018

An older adult with dementia lives with family and attends day care. After observing poor hygiene, the nurse at the center talks with the patient's adult child. This caregiver becomes defensive and says,

It takes all my time and 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 more about the effects of dementia.
b. Secure additional resources for the mother's evening and night care.
c. Support the caregiver to grieve the loss of the mother's ability to function.
d. Teach the family how to give physical care more effectively and efficiently.

Question 2

A patient has a history of physical violence against family members when frustrated and then experiences periods of remorse after each outburst. Which finding indicates success in the plan of care? The patient:

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.

connor417 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The patient's child and family 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 precrisis 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 develop a healthier way of coping with frustration if it is expressed verbally instead of physically. The incorrect options do not confirm the achievement of outcomes.