The son of a client diagnosed with moderately advanced ...

[fnuegbu]

The son of a client diagnosed with moderately advanced Alzheimer's disease shows concern over the care his mother will receive after making the decision to institutionalize her.
 
  Which of the following statements made by the admitting nurse is most therapeutic in addressing the son's concerns?
  1. We care deeply for all our clients and take great pride in the care and attention we give each one of them.
  2. Please feel free to talk to our staff and to the other clients about the care and at-tention we give to each of our clients.
  3. I hope that you will be able to visit your mother often and offer us suggestions on how best to meet her physical and emotional needs.
  4. I know it has been a difficult decision, and you must have concerns about leav-ing her, but rest assured we have her best interest at heart.

Question 2

The nurse is caring for a client who was admitted with various physical traumas resulting from an assault by a stranger attempting to steal her purse.
 
  Which of the following statements made by the nurse is most therapeutic in assessing the degree of stress the event has caused the client?
  1. Would you like to talk about the attack?
  2. What may I do to help you emotionally?
  3. Has being attacked been traumatic for you?
  4. How has this experience affected your life?

[pratush dev]

Answer to Question 1

ANS: 3
The decision to institutionalize a family member and the aftermath of that decision cause emo-tional distress and are a threat to family members' psychological well-being. When their role shifted from primary caregiver to advocate for the patient, the family members felt empowered. Previous studies showed that institutionalized residents have a better quality of life when family members are involved. By encouraging frequent visits and including them in the client's care, the family's concerns will be best managed.

Answer to Question 2

ANS: 4
The vital question for a person in crisis is, What does this mean to you; how is it going to affect your life? What causes extreme stress for one person is not always stressful to another. The per-ception of the event, the situational supports, and the coping mechanisms all influence return of equilibrium or homeostasis. The other options are not as effective at opening up client-directed communication concerning the effects of the event.