Nokea
When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?
- A. Providing detailed explanations
- B. Speaking in a loud and clear voice
- C. Using simple and direct statements
- D. Offering multiple choices to the client
Correct Answer: C
Rationale: The most appropriate communication technique for a client with Alzheimer's disease is using simple and direct statements (Choice C). This approach is effective because it helps reduce confusion and enhances understanding for individuals with cognitive impairment. Complex explanations (Choice A) may overwhelm the client. Speaking loudly (Choice B) can be perceived as aggressive or intimidating. Offering multiple choices (Choice D) may lead to decision-making difficulties. Therefore, Choice C is the best option for clear and effective communication with Alzheimer's clients.
You may also like to solve these questions
The purpose of a peripheral iridectomy procedure is to
- A. permit drainage of aqueous humor from the anterior chamber
- B. promote the formation of permanent anterior synechiae with the cornea
- C. promote the formation of permanent posterior synechiae with the lens
- D. gain access to the lens for easy removal
Correct Answer: A
Rationale: A peripheral iridectomy creates an opening to allow aqueous humor to drain properly, relieving intraocular pressure associated with narrow-angle glaucoma.
A client with deep vein thrombosis (DVT) is receiving heparin therapy. What is the priority assessment for the nurse?
- A. Monitoring blood pressure
- B. Checking the activated partial thromboplastin time (aPTT)
- C. Assessing for signs of bleeding
- D. Measuring calf circumference
Correct Answer: C
Rationale: The correct answer is C: Assessing for signs of bleeding. This is the priority assessment because heparin therapy increases the risk of bleeding. Signs of bleeding include bruising, petechiae, blood in urine or stool, and excessive bleeding from wounds. Monitoring blood pressure (A) is important but not the priority in this situation. Checking aPTT (B) is important for evaluating the effectiveness of heparin therapy but does not take precedence over assessing for bleeding. Measuring calf circumference (D) is used to detect changes in calf size due to DVT but is not the priority assessment while the client is on heparin therapy.
Steve has developed pneumonia following intrathoracic surgery performed last week. He has no comorbidities and the hospital does not have a high rate of MRSA infections. Treatment for postoperative pneumonia would most likely include a:
- A. Cephalosporin, such as cefazolin.
- B. Penicillin, such as amoxicillin.
- C. Fluoroquinolone, such as levofloxacin.
- D. Tetracycline, such as doxycycline.
Correct Answer: C
Rationale: Fluoroquinolones like levofloxacin are effective against a broad spectrum of pathogens and are often used to treat postoperative pneumonia, especially in cases without MRSA concerns.
When assessing a client with anxiety disorder, what does the nurse observe for evidence of various levels of anxiety?
- A. Absence of crying
- B. Talking excessively
- C. Being motionless
- D. Not complaining
Correct Answer: B
Rationale: Excessive talking may indicate heightened anxiety as the client attempts to distract themselves from their worries.
Why is empathetic listening important during nurse-client communication?
- A. It helps in building trust and understanding.
- B. It ensures compliance with medical advice.
- C. It facilitates reaching the goals of a client.
- D. It avoids overwhelming a client with new information.
Correct Answer: A
Rationale: Empathetic listening allows the nurse to understand the client's concerns deeply, which strengthens the therapeutic relationship and improves care outcomes.