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An older woman diagnosed with Alzheimers disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother. Shes awake all night. I never get any sleep. Which nursing intervention has priority?
- A. Teach the caregiver about the effects of sundowners syndrome.
- B. Secure additional resources for the mothers evening and night care.
- C. Support the caregiver to grieve the loss of the mothers cognitive abilities.
- D. Teach the family how to give physical care more effectively and efficiently.
Correct Answer: B
Rationale: The patients caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.
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The nurse notifies the treatment team that the client's electroconvulsive therapy treatment scheduled for 9:45 a.m. is to be cancelled when the:
- A. Client's wife calls and reports she will be unable to get to the hospital before the treatment.
- B. Medication nurse gives him his regularly scheduled antihypertensive medication at 7 a.m.
- C. Night shift staff reports that the client slept fitfully and reports having 'bad dreams.'
- D. Client eats his usual breakfast of buttered toast, cooked cereal, tea, and juice.
Correct Answer: D
Rationale: The correct answer is D because food intake before electroconvulsive therapy (ECT) can increase the risk of aspiration during the procedure, which can be life-threatening. Buttered toast, cooked cereal, tea, and juice are considered solid food items that should be avoided before ECT to prevent complications. Choices A, B, and C are not immediate contraindications for canceling the ECT session. A: The client's wife being late does not impact the safety of the procedure. B: Taking antihypertensive medication does not pose a direct risk before ECT. C: Fitful sleep and bad dreams do not indicate a need for cancellation unless related to a medical emergency.
Self-efficacy is influence by:
- A. Encouragement
- B. Discouragement
- C. Both a and b
- D. None
Correct Answer: C
Rationale: Self-efficacy is shaped by both encouragement and discouragement (verbal persuasion), per Bandura.
the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Individual is dissatisfied with their own biological sex
- C. Problem with sexual fantasies
- D. Problem with normal sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal sense of gender, which may conflict with biological sex.
Why are cardiovascular medications, such as beta blockers and alpha-2 receptor agonists, used in patients with anxiety?
- A. Block manifestations: Tremors
- B. Palpitations
- C. Tachycardia
- D. Sweating
Correct Answer: A
Rationale: The correct answer is A: Block manifestations: Tremors. Beta blockers and alpha-2 receptor agonists are used in patients with anxiety to block physical manifestations such as tremors. Beta blockers reduce the physical symptoms of anxiety by blocking the effects of adrenaline on the body, including tremors. Alpha-2 receptor agonists also help reduce physical symptoms by decreasing the release of norepinephrine. Palpitations (B), tachycardia (C), and sweating (D) are also physical symptoms of anxiety, but beta blockers and alpha-2 receptor agonists primarily target tremors in this context.
Which statement made by a family member of an individual recently diagnosed with schizophrenia supports the nurse's assessment that the family will respond well to care strategies that support the competence model of care?
- A. How long will it be before he will need to be cared for by others?'
- B. Is his illness chronic or does he have a chance of getting well again?'
- C. My mother will be devastated to hear that my brother is mentally ill.'
- D. Our brother is family and we will be there to support him in every way we can.'
Correct Answer: D
Rationale: The correct answer is D because it demonstrates a supportive and inclusive attitude towards the individual with schizophrenia. By stating, "Our brother is family and we will be there to support him in every way we can," the family member acknowledges the importance of familial support and unity in the care of their loved one. This aligns with the competence model of care, which emphasizes empowerment, collaboration, and the importance of relationships in supporting individuals with mental health conditions.
A, B, and C are incorrect because they focus on negative aspects of the diagnosis, such as dependency, chronicity, and potential devastation, which do not reflect the positive and supportive approach needed for effective care strategies based on the competence model.