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Zorluk: OrtaSupport Systems

A nurse is preparing for the discharge of a client who has right-sided hemiparesis and expressive aphasia following a cerebrovascular accident (CVA). The client's spouse, who is the primary caregiver, works full-time outside the home. Which of the following nursing actions are appropriate to ensure an adequate support system is in place? Select all that apply.

  1. Provide the spouse with contact information for local stroke survivor and caregiver support groups.Cevap
  2. Refer the family to a home health agency to arrange for daytime assistance while the spouse is at work.Cevap
  3. C
    Advise the spouse to take an extended leave of absence from their job to guarantee the client's safety at home.
  4. Collaborate with the spouse to identify other family members or friends who can provide respite care on weekends.Cevap
  5. E
    Delegate the initial assessment of the home environment's safety to the unlicensed assistive personnel (UAP).

Cevap

The appropriate actions include providing information for support groups, referring the family to a home health agency for daytime assistance, and collaborating with the spouse to identify options for weekend respite care.
Providing contact information for support groups offers emotional and educational support for both the client and caregiver. Referring the family to a home health agency directly addresses the practical gap in care while the spouse is working. Collaborating to identify other friends or family members helps build a broader support network, which reduces the risk of caregiver burnout by planning for necessary respite care.

Adım Adım Çözüm

1
Analyze the client's clinical and social situation presented in the scenario.
The client has physical and communication deficits requiring care, but the primary caregiver (spouse) works full-time, creating a significant gap in daytime support.
Identifying the specific gaps in the support system dictates which nursing interventions and referrals are necessary.
2
Evaluate potential nursing interventions based on therapeutic communication, professional boundaries, and scope of practice.
Referrals to community resources and collaborating to build a respite network are appropriate. Giving personal employment advice or delegating initial assessments to UAPs are incorrect actions.
To select evidence-based, safe, and professional nursing actions that directly enhance the client's support system.

Anahtar Kavram

Evaluating and planning comprehensive support systems and community resources for clients discharging with significant deficits.
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Konular

Support Systems

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