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Which technique is most therapeutic for helping clients with dementia remain oriented?
- A. Address all clients using their first name.
- B. Ask clients to identify their goals for the day.
- C. Assign clients to greet visitors each day.
- D. Post large calendars with the current date.
Correct Answer: D
Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.
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The client with a history of aggressive behavior toward staff and peers states to the nurse “Everyone is just so touchy; I don’t see where I’m being too aggressive.” Which nursing action should be included in the therapeutic plan of care to best effect a difference in perceptions?
- A. Refamiliarize the client with the rules of the unit.
- B. Introduce nonaggressive interpersonal behaviors to the client.
- C. Promote dialogue between the staff and client to discuss the staff’s perceptions of aggressive behavior.
- D. Encourage the staff to show patience to the client because the client may have poor aggression control.
Correct Answer: C
Rationale: Dialogue (C) clarifies differing perceptions of aggression. Rules (A) or behaviors (B) are less effective without addressing perceptions and patience (D) risks safety.
Which approach is best for managing the client's care?
- A. Use a nonjudgmental manner when cleaning the client of stool.
- B. Ask the client's spouse to perform hygiene measures.
- C. Hold the client responsible for all hygiene.
- D. Assign same-gender nurses to care for the client.
Correct Answer: A
Rationale: A nonjudgmental approach preserves the client's dignity, reducing embarrassment and supporting self-esteem during hygiene care.
Which emotional responses are the parents most likely to experience immediately after the sudden death of their infant?
- A. Anger
- B. Guilt
- C. Fear
- D. Depression
Correct Answer: B
Rationale: Guilt is a common immediate response as parents often question their actions or feel responsible for the infant's death, reflecting early grief processing.
When the counselor asks the members of the post-traumatic stress disorder (PTSD) support group to draw pictures of their traumatic experiences, the nurse understands that the primary purpose for drawing is to achieve what outcome?
- A. Deal consciously with painful memories
- B. Bond with other group members
- C. Receive approval from group members
- D. Justify participation in the group
Correct Answer: A
Rationale: Drawing traumatic experiences externalizes memories, helping clients confront and process painful events in a controlled, therapeutic way.
If the physician prescribes imipramine hydrochloride (Tofranil) for the client, the nurse should assess for which therapeutic drug effect first?
- A. Absence of suicidal ideation
- B. Improved concentration
- C. Decreased agitation
- D. Regulated mood
Correct Answer: D
Rationale: Regulated mood is the primary therapeutic effect of imipramine, addressing the core symptoms of depression.