Nokea
Which are possible sources of frustrations for nurses caring for persons with dementia? Select all that apply.
- A. The clients do not retain explanations or instructions, so the nurse must repeat the same things continually.
- B. The nurse may get little or no positive response or feedback from clients with dementia.
- C. It can be difficult to remain positive and supportive to clients and family because the outcome is so bleak.
- D. It can be helpful for the nurse to talk to colleagues or even a counselor about personal feelings of depression and grief as the dementia progresses.
- E. The clients may seem not to hear or respond to anything the nurse does.
Correct Answer: A,B,C,E
Rationale: Repetition, lack of response, bleak outcomes, and non-responsiveness contribute to nurse frustration, while discussing feelings is a coping strategy, not a source of frustration.
You may also like to solve these questions
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.
The daughter of a woman with dementia asks the nurse if her mother will ever be able to live independently again. Which would be the most appropriate response?
- A. You sound like you aren't ready for her to be dependent on caregivers.
- B. Her confusion is a temporary complication of her physical illness and should subside when the illness gets better.
- C. Symptoms of dementia gradually get worse. Unfortunately she will not be independent again.
- D. With early treatment, mild dementia can be reversed. It may be possible.
Correct Answer: C
Rationale: Dementia is progressive, leading to increasing dependence, unlike delirium, which may be reversible.
Which client would have an increased risk for delirium?
- A. An elderly woman with abdominal pain
- B. A 3-year-old child with a temperature of 103.2 F
- C. A middle-aged woman newly diagnosed with multiple sclerosis
- D. A young adult male with gastroenteritis and dehydration
Correct Answer: B
Rationale: High fever in young children significantly increases the risk of delirium, more so than the other conditions listed.
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.