A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?
Assist the client with bathing and toileting.
Design a bulletin board to represent the current season.
Present evidence of objective reality to improve cognition.
Label the door to the client's room with name and number.
The Correct Answer is A
a. Assist the client with bathing and toileting. This intervention addresses the client's immediate and essential needs. Ensuring basic hygiene and toileting are crucial for maintaining the client's health, dignity, and comfort. Assisting with activities of daily living (ADLs) is a priority for clients who are unable to perform these tasks independently.
b. Design a bulletin board to represent the current season. While this can help with orientation and provide a sense of time and place, it is not as critical as addressing the client's basic physical needs.
c. Present evidence of objective reality to improve cognition. Reality orientation can be beneficial, but it is not a priority intervention compared to meeting the client's immediate physical needs.
d. Label the door to the client's room with name and number. This helps with orientation and independence but is less critical than ensuring the client’s hygiene and toileting needs are met.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Muscle rigidity and stiffness: This is correct because muscle rigidity and stiffness are signs of extrapyramidal symptoms (EPS), which benztropine is prescribed to treat.
b. Constipation and dry mouth: These are common side effects of antipsychotics but do not warrant benztropine, which is specifically used to manage EPS.
c. Tachycardia and hypotension: These are not related to the EPS that benztropine treats. They may require other interventions.
d. Reports of photosensitivity: Photosensitivity is not related to EPS and does not require benztropine.
Correct Answer is B
Explanation
a. Sharing limited personal information: Sharing personal information can blur professional boundaries and make the client feel uncomfortable.
b. Being reliable, honest, and consistent during interactions: Predictability and consistency build trust, especially for someone with a condition that can distort reality.
c. Establishing personal contact with family members: Involving family members may not always be appropriate and could violate the client's privacy. It's best to proceed with the client's consent
d. Sitting close to the client to establish rapport: Sitting too close can be perceived as intrusive and might make the client feel uneasy.
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