Nokea
The nurse encourages the client with dementia to meet nutritional needs. Which is the best approach to assist in meeting adequate dietary intake?
- A. Sit with the client as long as necessary to complete the meal.
- B. Provide entertainment during meals such as television or music.
- C. Avoid between-meal snacks to encourage appetite.
- D. Serve meals in small, bite-size pieces.
Correct Answer: D
Rationale: Serving food in bite-size pieces accommodates motor difficulties and reduces frustration during meals.
You may also like to solve these questions
The nurse is caring for a client with cognitive impairment. To determine whether the client is suffering from delirium or dementia, the nurse reviews the symptoms and course of each disorder.
- A. Rapid onset
- B. Progressive decline
- C. Long-term memory impairment
- D. Slurred speech
- E. Hallucinations
Correct Answer: A : Delirium, B: Dementia, C: Dementia, D: Delirium ,E: Delirium
Rationale: Delirium features rapid onset, slurred speech, and hallucinations, while dementia involves progressive decline and long-term memory impairment.
Which is believed to be a risk factor specific to the development of delirium?
- A. Increased severity of physical illness
- B. Older age
- C. Baseline cognitive impairment
- D. Gradual decline in functioning
Correct Answer: A
Rationale: Increased severity of physical illness is a primary trigger for delirium, unlike gradual decline, which is characteristic of dementia.
A nurse is educating a group of elderly community members about cognitive disorders. Which would the nurse include as a measure most likely to prevent Alzheimer's disease and other dementias?
- A. Crafts
- B. Cooking
- C. Watching television
- D. Reading
Correct Answer: D
Rationale: Reading and other brain-stimulating activities are associated with a reduced risk of Alzheimer's disease.
Which statement made by the nurse would be most appropriate to an 89-year-old patient who is confused but has no history of dementia and is hospitalized for an acute urinary tract infection?
- A. You are likely to become progressively more confused now.
- B. This should be just a temporary situation.
- C. Don't worry about it, everyone is confused when they are in the hospital.
- D. I know things are upsetting and confusing right now, but your confusion should clear as you get better.
Correct Answer: D
Rationale: This response validates the patient's feelings while providing reassurance that delirium from the infection is typically temporary.
The grown daughter of a woman with Alzheimer's disease reports to the nurse that she is trying to keep her mother's condition from worsening by asking her questions whenever they are together. Which will be accomplished by this intervention?
- A. Decrease environmental misinterpretation
- B. Improve memory retention
- C. Increase frustration
- D. Slow the progress of the disease
Correct Answer: C
Rationale: Questioning clients with Alzheimer's about tasks they cannot perform increases frustration due to their progressive cognitive decline.