Nokea
You are a home health nurse caring for an elderly client in their home. They have children and grandchildren but they live far from the couple and they typically visit with your clients once to two times a year. The elderly man is beginning to show some of the signs of Alzheimer's disease dementia. The wife is also 88 years of age and has had a stroke which has left her with left sided weakness, but she is willing to help her husband and to maintain his safety. What kind of support should you give the wife in terms of her role caring for her husband?
- A. You should advise the couple to move closer to their children so that they can care for their father.
- B. You should teach the wife about this progressive disease and the need to promote as much independence as possible.
- C. You should teach the wife about this progressive disease and the need to do all that she can for the husband to avoid his depression and frustration.
- D. You should advise the couple to decrease their social activities in order to preserve the husband's dignity and self-esteem.
Correct Answer: B
Rationale: Education on progression and independence (B) supports the wife's caregiving role.
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When working with a patient beginning treatment for alcohol dependence, what is the nurse’s most therapeutic approach?
- A. Empathetic, supportive
- B. Strong, confrontational
- C. Skeptical, guarded
- D. Cool, distant
Correct Answer: A
Rationale: The correct answer is A: Empathetic, supportive. This approach establishes trust, shows understanding, and promotes open communication. Empathy helps build a therapeutic relationship, which is crucial in treating alcohol dependence. Being supportive encourages the patient to feel safe and willing to discuss their issues. Strong, confrontational (B) may lead to resistance and defensiveness. Skeptical, guarded (C) can create barriers and hinder progress. Cool, distant (D) may make the patient feel isolated and unsupported. Overall, empathy and support create a positive and collaborative therapeutic environment.
Marriage appears to be in decline because
- A. The proportion of people living alone has fallen to $29\%$
- B. Many people are cohabiting in long term relationships
- C. The upward curve of remarriages compensates for the drop in first marriages
- D. All of these are correct
Correct Answer: B
Rationale: Cohabitation's rise contributes to marriage's perceived decline.
Which characteristic of carbon monoxide makes it a particularly dangerous gas?
- A. It is clear?
- B. It is damaging to the lungs.
- C. It is damaging to the spleen and the liver.
- D. It leads to the over production of hemoglobin.
Correct Answer: A
Rationale: Carbon monoxide is dangerous because it is odorless and colorless, making it difficult to detect.
The nurse is addressing a primary symptom of schizophrenia when:
- A. Arranging for the client to attend stress management classes.
- B. Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
- C. Working with the client to arrive at a budget that allows him to live independently.
- D. Supporting the client in his attempts to stop using alcohol to cope with his hallucinations.
Correct Answer: B
Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment.
A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking.
C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia.
D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.
It occurs when the group has matured and attains a feeling of cohesiveness:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: D
Rationale: Performing (Tuckman) is when the group functions effectively as a cohesive, productive unit.