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Question

Difficulty: EasySupport Systems

A nurse is preparing to discharge an older adult client who recently had a stroke. The client's spouse, who will be the primary caregiver, states, 'I am terrified. I do not know how I will be able to provide care 24 hours a day by myself.' Which response by the nurse best identifies and utilizes an appropriate support system?

  1. Let's consult with the social worker to explore home health services and respite care options.Answer
  2. B
    Do not worry; most spouses feel overwhelmed at first, but you will quickly adjust to the routine.
  3. C
    I will show you how to do all the physical care tasks again so you feel completely prepared.
  4. D
    Families in your cultural group typically manage elder care at home without needing outside assistance.

Answer

Consulting with the social worker to explore home health services and respite care options.
The spouse is expressing high risk for caregiver role strain and a lack of support. Providing interdisciplinary referrals to a social worker for home health and respite care directly addresses the need for a practical support system, helping to prevent caregiver burnout and ensuring safe continuous care for the client.

Step-by-Step Solution

1
Identify the primary concern expressed by the client's spouse.
The spouse is expressing fear and overwhelming burden regarding providing 24-hour care alone.
Understanding the core issue is necessary to determine the appropriate nursing intervention.
2
Recognize the need for an external support system.
The situation requires professional resources and community assistance, not just emotional encouragement or task training.
Providing 24-hour care alone leads to high risk for caregiver role strain and unsafe client conditions.
3
Select the intervention that connects the caregiver to appropriate resources.
Collaborating with a social worker for home health and respite care is the correct action.
Social workers specialize in coordinating community support systems, discharge planning, and respite care services.

Key Concept

Caregiver Support Systems and Interdisciplinary Referrals
Estimated Time:45s
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Topics

Support Systems

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