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The nurse is encouraging a group of clients with dementia to join in upper body range of motion exercises using light dumbbells. Which technique will most likely result in the greatest amount of participation?
- A. Show an instructional video just prior to the activity.
- B. Describe the exercise immediately before performing it.
- C. Demonstrate the exercises while clients simultaneously perform them.
- D. Perform the same routine daily to avoid the need for repeated instruction.
Correct Answer: C
Rationale: Demonstrating exercises simultaneously encourages participation by providing clear, immediate guidance.
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A client with dementia gets angry and begins to yell at the nurse during mealtime. The nurse leaves the client's side for 5 to 10 minutes and then returns. Which of the following best explains the nurse's behavior?
- A. The nurse was unsure of how to calm the client.
- B. The nurse was frustrated and needed to take a time-out.
- C. The nurse gave the client a chance to calm down before resuming the meal.
- D. The nurse stepped away to verify the safety of other clients.
Correct Answer: C
Rationale: Leaving briefly allows the client to calm down, leveraging their short memory to resume interaction calmly.
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.
The daughter of a client with dementia has been the primary caregiver for 5 months. The daughter expresses to the nurse, 'At times it is so overwhelming! I feel I do not have a life anymore!' Which is the most helpful response by the nurse?
- A. Are you saying you don't want to care for your mother anymore?
- B. I know it is really hard. It takes a lot of work and you are doing such a good job.
- C. Your mother really appreciates what you do for her. You are the best one to care for her.
- D. Here is the number of a caregivers' support group. How do you think you would feel talking with others in the same situation?
Correct Answer: D
Rationale: Offering a support group provides practical help and emotional validation for the caregiver's stress.
The nursing supervisor in an extended care facility is managing the environment to best help the clients with dementia. Which should the nurse include in planning the living environment?
- A. Plan for the same caregivers to provide care to individuals as much as possible.
- B. Open the windows and doors to allow fresh air to circulate through the environment.
- C. Provide a buffet-style menu with many food choices.
- D. Assign peer-led exercise activities on a daily basis.
Correct Answer: A
Rationale: Consistent caregivers provide familiarity and reduce confusion in clients with dementia.
A client with moderate Alzheimer's disease is living with her grown daughter. Which statement by the daughter would indicate the need for intervention by the nurse?
- A. It's distressing when my mother forgets my name.
- B. I wish my sister would come to visit more often.
- C. Mother won't let anyone else do anything for her.
- D. Taking care of my mother is a big responsibility.
Correct Answer: C
Rationale: Refusing help from others increases caregiver strain, indicating a need for intervention to promote shared caregiving.