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The home care nurse visits a client who started wandering around at 10:00 pm each evening and got out of the house for the first time last night. The family asks for help. Which therapeutic response should the nurse make to the family?

“What prevented her from leaving the house in the past?”“You cannot handle this alone because she could get hurt.”“I think you need to consider a nursing home immediately.”“This is a common problem known as sundowner ’s syndrome.”

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ExplanationThe nurse responds to the family by assessing the situation and collecting additional data regarding the change in the client’s behavior. The best response focuses on the family’s problem so that the nurse can help develop potential strategies. Option 2 is giving advice. Option 3 is histrionic, invalidates the family’s attempt to manage the client’s care, and potentially causes resentment. Option 4 provides the nurse’s conclusion based on an incomplete assessment; other factors may be causing confusion.

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