# A stroke survivor is preparing to return home with help from an adult daughter. For each care-planning action, select the best classification.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396204&lang=en  
> language: en  
> subject: Support Systems  
> category: PSI

## Question

A stroke survivor is preparing to return home with help from an adult daughter. For each care-planning action, select the best classification.

|  | Assess the caregiver-client dyad now | Prepare skills before discharge | Connect to continuing support |
| --- | --- | --- | --- |
| Confirm the client’s preferences for daughter involvement and ask which tasks the client wants help with |  |  |  |
| Ask the daughter about sleep, health, work demands, confidence, and limits on the help she can provide |  |  |  |
| Practice transfers and mobility assistance until both people can demonstrate the agreed technique safely |  |  |  |
| Use a medication schedule and teach-back for dosing, warning signs, and whom to call |  |  |  |
| Arrange social-work and home-health evaluation for respite, equipment, transportation, and benefit needs |  |  |  |
| Schedule follow-up that reassesses caregiver strain and offers stroke caregiver education or peer support |  |  |  |

## Explanation

A safe discharge plan assesses the client’s preferences and the caregiver’s capacity, health, competing responsibilities, and distress. Education is tailored to actual tasks and confirmed with teach-back or return demonstration. Follow-up resources may include home health, rehabilitation, respite, social work, support groups, and scheduled reassessment of both members of the dyad.

## In-depth explanation

Correct Answer
Two actions assess the dyad now, two prepare task-specific skills before discharge, and two connect the family to continuing support.

Why It Fits
Caregiver willingness does not equal unlimited capacity; discharge safety depends on assessment, competence, and sustainable follow-up.

Clinical Picture
Fatigue and uncertainty are cues to assess, not moral failures. Medication and mobility tasks require practice, and caregiver burden can change after discharge.

Memory Link
Capacity, competence, continuity.

NCLEX Rule
Include the client’s consent and caregiver voice while keeping professional services available for needs the family cannot safely meet.

Why the Alternatives Fail
Assuming availability from kinship risks an unsafe plan. Education without demonstration does not establish competence, and a resource list without connection may not produce access.

Sources
1AHA/ASA: Stroke Family Caregiver and Dyad Interventions
22026 NCLEX-RN Test Plan

## Clinical scenario

With the client’s consent, the daughter will help with medications, mobility, and appointments. She says, “I want to help, but I am exhausted and do not know how I can do this every day.”

## Key concepts

- **Caregiver capacity** — The caregiver’s realistic ability, health, time, skills, and willingness to perform anticipated tasks.
- **Dyadic intervention** — Support designed for the stroke survivor and caregiver together rather than treating either person in isolation.

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