Nokea
Which technique is best for reducing confusion among clients with dementia?
- A. Wear an employee name tag when caring for clients.
- B. Adhere to a consistent routine of unit activities.
- C. Provide diversional activities such as field trips.
- D. Distribute a list of the day's scheduled events.
Correct Answer: B
Rationale: A consistent routine minimizes confusion by providing predictability, supporting cognitive stability in dementia.
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If the client frequently comes to meals with the residue of soap on the face or an unbuttoned shirt, which action by the nurse is most beneficial to the client's emotional state?
- A. Send the client back to finish.
- B. Bathe and dress the client daily.
- C. Schedule the client's hygiene activities after meals.
- D. Comment on how self-reliant the client is.
Correct Answer: C
Rationale: Scheduling hygiene after meals allows assistance without embarrassment, supporting the client's dignity and emotional well-being.
When a 24-year-old with a record of multiple convictions for driving under the influence (DUI) claims not to be an alcoholic, which is the most pertinent assessment question the nurse can ask?
- A. When you drink, do you drink beer or hard liquor?
- B. Did you begin drinking before or after you were of legal age?
- C. Do you prefer to drink alcohol rather than soft drinks?
- D. Are you unable to recall events that occurred while drinking?
Correct Answer: D
Rationale: Asking about memory loss during drinking episodes assesses for blackouts, a key indicator of problematic drinking patterns associated with alcoholism.
If the older adult's sons and daughters are visiting on the day of the scheduled nurse's visit, which action is most appropriate before beginning the assessment?
- A. Encourage the client's children to offer their comments at any time.
- B. Provide a private setting for conducting the assessment.
- C. Identify the names and relationships of those present.
- D. Offer to share the assessment results with the client's children.
Correct Answer: B
Rationale: A private setting ensures confidentiality and encourages honest responses, critical for an accurate health assessment.
Which recommendation by the nurse is most likely to be effective in helping the client control bulimia?
- A. Eat small, frequent meals.
- B. Take a daily inventory of food offered at the dormitory.
- C. Avoid eating in fast food establishments.
- D. Keep a daily calorie count of all foods consumed.
Correct Answer: A
Rationale: Small, frequent meals stabilize eating patterns, reducing the urge to binge and purge, a key strategy in managing bulimia.
The nurse is preparing to care for the newly hospitalized client diagnosed with Korsakoff’s psychosis from alcohol abuse. Which intervention should the nurse plan to implement?
- A. Administer thiamine intravenously.
- B. Give octreotide acetate intravenously
- C. Apply soft wrist restraints for safety.
- D. Start oxygen at 2 L/min per nasal cannula.
Correct Answer: A
Rationale: Thiamine (A) treats confusion in Korsakoff’s due to deficiency. Octreotide (B) is for varices restraints (C) are not first-line and oxygen (D) is irrelevant.