A client is accompanied by his spouse to the clinic for rehabilitation after an extensive traumatic brain injury (TBI) from combat. The client's spouse reports feelings of being overwhelmed with the constant care for the injured veteran. Which of the following would be the most appropriate nursing intervention for the caregiver of an injured service member?

Choice A reason: While open communication is important, it does not directly address the spouse’s feelings of being overwhelmed. Communication alone will not relieve caregiver burden or provide tangible support. Choice B reason: Assessing for abuse is always part of nursing care, but there is no indication of abuse in this scenario. Focusing on abuse without evidence would be inappropriate and non-therapeutic. Choice C reason: Encouraging independence in the injured service member is beneficial, but it does not directly address the caregiver’s stress. The spouse’s concern is about the overwhelming responsibility, which requires external support and resources. Choice D reason: Identifying additional needs and ensuring resources are provided is the most appropriate intervention. Caregiver burden is a well-documented issue in TBI rehabilitation, and nurses play a key role in connecting families with respite care, support groups, counseling, and community resources. This intervention directly addresses the spouse’s feelings of being overwhelmed.