A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Explanation & Rationale
A. Contact hospice services for end-of-life care: Hospice care is appropriate for clients with a terminal prognosis, typically with a life expectancy of 6 months or less. Moderate Alzheimer’s disease does not meet hospice criteria, so this would not address the caregiver’s current stress or fatigue. B. Consider respite care services: Respite care provides temporary relief for caregivers by offering short-term professional support. This allows caregivers time to rest, manage personal needs, and reduce burnout, making it the most appropriate recommendation for someone showing signs of stress and irritability. C. Take a nonprescription sleeping medication: Over-the-counter sleep aids can cause daytime drowsiness, cognitive impairment, or dependence, and they do not resolve the underlying issue of caregiver burden. This does not promote healthy coping strategies or safe caregiving. D. Pursue local protective services: Protective services are indicated when abuse or neglect is suspected. While the caregiver appears stressed, there is no evidence of harm or unsafe behavior toward the client, making this intervention unnecessary at this stage.