A Red Cross volunteer has recently returned from assisting families in the Northwest who survived a devastating forest fire. She is having trouble sleeping and has taken up smoking again. Which statement by her leads the nurse to suspect a nursing diagnosis of Caregiver Role Strain related to stress from disaster volunteer activities?

A. "I can't seem to calm down. I keep seeing those faces and hearing their words every time I close my eyes."

B. "I need to get back to work here at home. That will get me back into a routine."

C. "I guess the smoke in the air brought out my mental addiction to cigarettes."

D. "I get so tired from working long hours at the site."

Answer:"I can't seem to calm down. I keep seeing those faces and hearing their words every time I close my eyes."

Explanation:

Caregiver role strain:

A caregiver is someone who assist on taking care of another person when for some reasons they can not take care of themselves.

Caregiver role strain occurs when a caregiver can no longer perform their role to their maximum level of performance due to the fact that they are experiencing intense feelings of stress and anxiety. Many situations can be contributory factors to this such as terrible death of someone they were looking after.

Symptoms may be:

- insomnia

- isolating themselves from everyone

-lack of appetite

- crying easily

- extreme exhaustion