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Family caregivers: Present and accounted for

doi: 10.1097/01.NME.0000394786.56164.57
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INSTRUCTIONS Family caregivers: Present and accounted for

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Family caregivers: Present and accounted for

GENERAL PURPOSE: To provide the nurse with an overview of how to identify and meet the needs of family caregivers at home. LEARNING OBJECTIVES: After reading this article and taking this test, you'll be able to: 1. Identify the problems linked to caregivers while providing care for patients at home. 2. Describe how to assess caregiver needs. 3. Illustrate methods for improving the ability of caregivers to provide quality care.

1. Why do patients today have shorter hospital stays requiring caregivers at home?

a. Studies found that patients prefer to be at home.

b. Healthcare reimbursement supports shorter stays.

c. Case-management assessments reveal longer stays are unnecessary.

2. Cancer caregivers often report sleep disturbances, depression, and

a. anxiety.

b. hallucinations.

c. resentment.

3. Patient problems that caregivers may feel unable to manage include all of the followingexcept

a. pain.

b. boredom.

c. anorexia.

4. Due to anxiety associated with the role, over half of caregivers have increased risk of arthritis, diabetes, and

a. hypertension.

b. renal failure.

c. cancer.

5. To meet quality outcomes for the patient at home, you should

a. arrange for backup care by a home health agency.

b. assess and meet the needs of the caregiver as well as the patient.

c. prepare for patient readmission to acute care within 2 weeks.

6. One of the ways the nurse can support caregivers is to

a. downplay their anxieties and worries.

b. avoid giving feedback suggesting care improvements.

c. minimize their risk of illness.

7. The Ask Me Three template includes all of the followingexcept

a. "What's the patient's main problem?"

b. "What do I need to do?"

c. "How do I communicate with the physician?"

8. Which intervention is likely to beleasthelpful to caregivers?

a. Help caregivers find meaning in their experience.

b. Help find ways to allow caregivers time away from caregiving.

c. Simplify instructions focusing just on what to do, not why it needs to be done.

9. After addressing caregiver health literacy and language issues, you should

a. give them a phone number of an interpreter to call with questions.

b. ask them to prioritize specific learning topics they need to provide care.

c. encourage them to take an English class to improve language skills.

10. One of the best ways to assess the caregiver's learning success is to

a. give the caregiver a written test.

b. assess whether the patient is improving.

c. ask the caregiver to "teach back" the content or skill.

11. Ideally, when would you assess a caregiver's learning needs and provide instruction?

a. just before the patient is discharged from the acute care setting

b. over multiple encounters when the patient returns for reassessment

c. only when teaching a new skill to the caregiver

12. A tool to assess the caregiver's preparedness, ability, and willingness to manage the needs of the patient at home is known as

a. the Modified Caregiver Strain Index.

b. the "Informal Caregivers of Older Adults at Home: Let's PREPARE!"

c. the Ask Me Three format.

13. Which statement about caregiversisn'tcorrect?

a. It's important to establish a good nurse-caregiver rapport to support caregiver health.

b. Many caregivers minimize their own health needs.

c. Caregivers reliably seek help when they feel their own health needs are jeopardized.

14. The Caregiver Stress Meter is

a. a tool that helps determine the level of stress the caregiver may be experiencing.

b. a psychiatric test to assess caregiver stress levels.

c. an educational tool for caregivers to learn ways to relieve stress.

15. This article identifies warning signs of caregiver stress as including anxiety, irritability, and

a. changes in vision.

b. headaches.

c. nervous twitches.

16. To minimize caregiver stress, you can encourage

a. caregivers to focus less on their own needs.

b. caregivers to prioritize time to relax.

c. patients to not be as demanding.

17. The authors suggest assisting caregivers by

a. giving them free meals in the hospital cafeteria.

b. praying with them.

c. identifying support groups for them.

18. Suggesting that caregivers write down questions before visiting the provider will

a. accomplish hiding distressing clinical information from the patient.

b. increase caregivers' understanding of proposed care plans by ensuring questions are answered.

c. allow the nurse to screen the questions and edit the language.

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