ch 50 Flashcards
The community health nurse is assessing a family who has a chronically ill child. The child needs special care, and the nurse has to coordinate the care for the home setting. What behavior will the nurse assess for to know that the family can care for the child?
a. The family is willing to learn about the care and share the caregiving needs.
b. The mother is going to care for the child and the family herself.
c. The older siblings are going to care for the child while the parents are at work.
d. An outside agency will be coming to the home three times a week to give care.
ANS: A
The nurse will look for a family who is willing to provide care plus support each other in this need. Having a situation where just siblings or a mother or an outside agency give care puts an undue burden on the caregiver and brings disharmony to the family.
A young wife is talking with the nurse about her husband who is returning from the military. The wife confides that her husband is physically okay but is behaving differently. What is the nurse’s best response?
a. “He is just trying to adjust to civilian life again; he’ll be okay.”
b. “You should observe him closely, because he could attack you.”
c. “Many times people need care for emotional trauma.”
d. “Talk with your physician to get medication, and then put it in his food.”
ANS: C
The nurse is alerting the young wife to the fact that people who have experienced emotional trauma need care too. The nurse does not know how the husband is adjusting so the other options are incorrect.
The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father’s care needs when she states which of the following?
a. “Dad will only need my help for a short time, and then he will get better.”
b. “I can leave dad alone during the day; I’ll just deadbolt the door.”
c. “I can send dad to the adult daycare; that way I can work and care for him at
night.”
d. “Dad misses mom since she passed; he will be okay in a few weeks.”
ANS: C
The father will be cared for at the adult daycare, and it is a nice alternative for the daughter. She will be able to work and know that her father is safe during the day. The daughter thinking the father will be okay in a few days is not realistic, nor can she deadbolt the door and lock him in the house.
Many middle-aged adults are called the “sandwich” generation because they are caring for their children and their aging parents. What is the priority reason for aging parents needing care?
a. Mental clarity
b. Immobility
c. Blindness
d. Multiple chronic illnesses
ANS: D
Multiple chronic illnesses come with the aging process. Middle-aged adults are becoming the caregivers for the generation before them and the one after them. Mental clarity is a positive aspect of aging and does not need care. Immobility and blindness do not always mean that the person needs direct care.
A mother is talking with the community-based nurse concerning her adult son. The son is mentally challenged and not able to live on his own. The mother is concerned about her son’s welfare when she is no longer able to care for him. What is the best response by the nurse?
a. “Let’s look into the community resources that are available to assist you.”
b. “You have raised your son well, and he will be okay on his own.”
c. “Contact your distant relatives to see if anyone would take your son.”
d. “There are places for mentally challenged adults; let’s place him there.”
ANS: A
The mother, with the assistance of the nurse, can research resources in the community that will service and care for her son when she is no longer able to do so. How the son is raised does not mean that he will be okay on his own. Distant relatives may not want or be able to care for the son, so this may not be a viable option. Placing the son is too general of an option, and he may not do well in this setting.
Many grandparents today are caring for grandchildren in place of a parent. Identify the reasons why this phenomenon is happening. (Select all that apply.)
a. Children prefer living with their grandparents.
b. Parents are incarcerated.
c. Parents are deceased.
d. Grandparents are better caregivers.
e. Parents are mentally ill.
f. Parents are substance abusers.
ANS: B, C, E, F
Grandparents are usually caring for children because the parents are deceased, in prison, substance abusers, or mentally ill and cannot care for the children. The fact that children prefer to live with the grandparents or the grandparents may be better caregivers is not a main reason for this phenomenon to happen.
Caregivers are often categorized by their relationship to the person being cared for. Which of the following are the roles? (Select all that apply.)
a. Grandparent
b. Spouse
c. Parent
d. Adult children
e. Neighbor/friend
f. Young children
ANS: A,B,C,D,E
All of these options can provide care whether it is on a temporary or permanent basis. Young children do not provide care.
