A nurse visits a 60-year-old client who is confined to his bed due to a stroke. The client’s wife is caring for him and assisting him with daily activities. The wife looks tired. She tells the nurse that it has become increasingly more difficult for her to assist him since her rheumatoid arthritis has been acting up. She states that, despite taking her medication, some days her fingers hurt so much, it is almost impossible to move him out of bed. The nurse notes that, despite the wife’s efforts, the client is always complaining. He speaks to his wife in an aggressive manner, making demands instead of requests. While the nurse was there, she heard him yell to his wife, “Get me the remote, now.” The client’s wife tells the nurse that their grown children do not interact with their father because he is always irritable. They hardly come to visit, and, when they do, they only stay for a short while. The wife states that he was not always the nicest man prior to his stroke, but that now he has become hard to live with. 1. Based on the nurse’s observations, what aspect of family function should the nurse address first? Getting more support for the wife who is the primary care giver. 2. After analyzing the data and assessments, what clinical judgments would be appropriate for this family?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness

Section: Chapter Questions

Problem 2CR

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Scenario 1: A nurse visits a 60-year-old client who is confined to his bed due to a stroke. The client’s wife is caring for him and assisting him with daily activities. The wife looks tired. She tells the nurse that it has become increasingly more difficult for her to assist him since her rheumatoid arthritis has been acting up. She states that, despite taking her medication, some days her fingers hurt so much, it is almost impossible to move him out of bed. The nurse notes that, despite the wife’s efforts, the client is always complaining. He speaks to his wife in an aggressive manner, making demands instead of requests. While the nurse was there, she heard him yell to his wife, “Get me the remote, now.” The client’s wife tells the nurse that their grown children do not interact with their father because he is always irritable. They hardly come to visit, and, when they do, they only stay for a short while. The wife states that he was not always the nicest man prior to his stroke, but that now he has become hard to live with. 1. Based on the nurse’s observations, what aspect of family function should the nurse address first? Getting more support for the wife who is the primary care giver. 2. After analyzing the data and assessments, what clinical judgments would be appropriate for this family?

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