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Which of the following verbal communication methods is best to use with a client with dementia?
- A. Speak loudly to get the client's attention.
- B. Use short sentences when speaking to the client.
- C. Use written forms of communication.
- D. Allow the client to listen to news programs.
Correct Answer: B
Rationale: Short sentences are easier for dementia clients to process, enhancing comprehension and reducing frustration.
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The client with Alzheimer’s disease becomes increasingly agitated and states “I must go and clean out the barn!” Which nursing response is most therapeutic?
- A. “What makes you think that the barn needs to be cleaned?”
- B. “So you’ve cleaned a barn. Tell me did you live on a farm?”
- C. “It’s awfully hot today; maybe you should wait until tomorrow.”
- D. “There are no barns around here. Would you like something to eat?”
Correct Answer: B
Rationale: Redirecting to memories (B) calms agitation without confrontation. Asking why (A) or stating facts (D) may escalate and delaying (C) blocks communication.
Which is the most desired outcome of a self-help group of rape victims?
- A. Obtaining mutual assistance with similar problems
- B. Receiving authoritative information about rape trauma
- C. Establishing new friendships with other victims
- D. Developing additional social skills for the future
Correct Answer: A
Rationale: Self-help groups provide mutual support, allowing victims to share experiences and coping strategies, fostering recovery through shared understanding.
The nurse is aware that if the client's panic attacks occur successfully, the client is likely to develop which common reaction?
- A. The client will seek out referrals for psychiatric treatment.
- B. The client will fear venturing from home and will become reclusive.
- C. The client will take more than the prescribed amount of medication.
- D. The client will become psychotic and will require psychiatric admission.
Correct Answer: B
Rationale: Frequent panic attacks can lead to agoraphobia, where fear of attacks causes avoidance of public places and reclusiveness.
The client in group therapy states “I’ve enjoyed using methylphenidate because of how it makes me feel.” The nurse should identify which additional statement with methylphenidate use?
- A. “I love how it gave me energy to stay up all night.”
- B. “It really helped me sleep when I wasn’t very tired.”
- C. “The bad part was that I gained weight when using it.”
- D. “I could really focus. I liked not worrying about anything.”
Correct Answer: D
Rationale: Methylphenidate aids focus (D). Energy (A) is amphetamine it doesn’t aid sleep (B) and causes weight loss (C).
When a new member to the group tells the nursing leader about sensing the presence of the dead spouse in the home, which nursing intervention is most appropriate?
- A. Recommending more professional counseling
- B. Assuring the client that it is wishful thinking
- C. Listening quietly and acknowledging the client's feelings
- D. Encouraging the client to stay with relatives
Correct Answer: C
Rationale: Listening and acknowledging feelings validates the client's experience, supporting grief processing in a therapeutic manner.