Medical Surgical Alzheimer’s Disease #5

Question

A family member of an Alzheimer’s client is very frustrated about their mother’s confusion and seeks advice from the nurse. Which statement is most therapeutic?

Answers

  1. “Seeing these changes in your mother must be very difficult for you.”
    • Rationale:

      This answer is correct because the most therapeutic response for the nurse to make to a family member frustrated about their mother’s confusion is one that acknowledges the family member’s feelings and encourages further conversation. Alzheimer’s disease is very difficult on caregivers and family members since it carries on for as long as 15-20 years or more, in some cases. There is no hope of improvement, but instead a long battle of gradually losing the loved one to this disease. The client has many physical, emotional, and behavioral needs during the course of the disease. This can cause caregiver strain. Therapeutic communication and other support is important to give to caregivers and family members.

  2. “We can place your mother on donepezil to help with the confusion.”
    • Rationale:

      This answer is not correct because this response does not acknowledge the family member’s feelings and encourage further conversation. It addresses the face value of the concern, not what the family member really needs.

  3. “If I was you, I would take her to a daycare to give yourself a break.”
    • Rationale:

      This answer is not correct because giving advice is not therapeutic. The most therapeutic response for the nurse to make to a family member frustrated about their mother’s confusion is one that acknowledges the family member’s feelings and encourages further conversation.

  4. “Why does this confusion frustrate you so much? You know she has Alzheimer’s”
    • Rationale:

      This answer is not correct because this response belittles the family member for feeling frustrated. The most therapeutic response for the nurse to make to a family member frustrated about their mother’s confusion is one that acknowledges the family member’s feelings and encourages further conversation.

Overview

The most therapeutic response for the nurse to make to a family member frustrated about their mother’s confusion is one that acknowledges the family member’s feelings and encourages further conversation.

Explanation

Learning Outcomes

Alzheimer’s disease is a form of dementia. It is a disease that is progressive, where memory issues and other dementia symptoms worsen gradually over several years. Memory symptoms are mild at first, then worsen. In the later stages, the client with Alzheimer’s disease is unable to carry on a conversation. Alzheimer’s disease is very difficult on caregivers and family members since it carries on for as long as 15-20 years or more, in some cases. There is no hope of improvement, but instead a long battle of gradually losing the loved one to this disease. The client has many physical, emotional, and behavioral needs during the course of the disease. This can cause caregiver strain. Therapeutic communication and other support is important to give to caregivers and family members.

Test Taking Tip

Remember, never ask “Why?” or give advice when the question asks for what is therapeutic.

Video Rationale