Nokea
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.
You may also like to solve these questions
The nurse is performing a health history with a client exhibiting signs of delirium. The nurse asks the client and family members about possible causes of the delirious state. Which would the nurse likely attribute as underlying causes for the client's delirium? Select all that apply.
- A. Recent alcohol use
- B. Dehydration
- C. Use of antihistamines
- D. Sleep disturbances
- E. Use of megadoses of vitamins
- F. Exposure to paint or gasoline
Correct Answer: A,B,C,D,F
Rationale: Delirium can be triggered by alcohol, dehydration, antihistamines, sleep disturbances, and exposure to toxins like paint or gasoline, but not typically by megadoses of vitamins.
Which statement by the nurse would be most appropriate to the family member who is the primary caregiver to a client with dementia?
- A. Most people seek help when they really need it.
- B. What is wrong with your family? Can't they see you need help?
- C. You should be grateful that you still have your family member around.
- D. Yes, it is important for you to spend some time relaxing and doing what you like to do. This will help you to be better prepared to manage the demands of the caregiver role.
Correct Answer: D
Rationale: Encouraging self-care supports the caregiver's well-being, enhancing their ability to manage caregiving demands.
The nurse is developing interventions to promote socialization in a client with moderate dementia. Which would provide a safe and secure environment for the client?
- A. A card game with other clients
- B. An activity with the nurse
- C. Decorating a bulletin board with the group
- D. Morning stretch group with music
Correct Answer: B
Rationale: One-on-one activities with the nurse minimize overstimulation and provide a predictable, safe environment.
A client with dementia is unable to recognize ordinary objects, such as a pen or notebook. Which would this be a symptom of?
- A. Agnosia
- B. Amnesia
- C. Apraxia
- D. Aphasia
Correct Answer: A
Rationale: Agnosia is the inability to recognize familiar objects, a hallmark of dementia, distinct from memory loss (amnesia), motor impairment (apraxia), or language deterioration (aphasia).
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.