A client diagnosed with moderate Alzheimer's has been admitted to a long-term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?

Drawing with crayons

Dangling ribbons or a mobile

Listening to music, watching TV, or videos

Board games

Answer and Explanation

The Correct Answer is C

Choice A Reason: This is incorrect because drawing with crayons may be too childish or frustrating for a client with moderate Alzheimer's. Crayons may also pose a choking hazard or cause messes. The nurse should provide activities that are suitable for the client's cognitive and functional level, as well as their interests and preferences.

Choice B Reason: This is incorrect because dangling ribbons or a mobile may be too stimulating or confusing for a client with moderate Alzheimer's. These items may also trigger agitation or wandering behaviors. The nurse should provide activities that are calming and familiar for the client.

Choice C Reason: This is correct because listening to music, watching TV, or videos can be enjoyable and beneficial for a client with moderate Alzheimer's. Music can evoke memories, emotions, and positive responses. TV or videos can provide entertainment, education, and socialization. The nurse should choose music, TV shows, or videos that are appropriate and meaningful for the client.

Choice D Reason: This is incorrect because board games may be too complex or challenging for a client with moderate Alzheimer's. Board games may require memory, concentration, logic, or strategy skills that the client may have lost. The nurse should provide activities that are simple and easy for the client to follow.

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Correct Answer is C

Explanation

Choice A Reason: This is incorrect because rotating nursing staff may not provide emotional support for the client who is rehabilitating from major burns. The client may benefit from having consistent and familiar staff who can establish rapport and trust with him. The nurse should assign staff who are experienced and comfortable with burn care and who can communicate effectively and empathetically with the client.

Choice B Reason: This is incorrect because keeping family members aware of his condition may not provide emotional support for the client who is rehabilitating from major burns. The client may have privacy or confidentiality concerns or may not want his family members to see him in his current state. The nurse should respect the client's wishes and preferences regarding family involvement and obtain his consent before sharing any information.

Choice C Reason: This is correct because talking with the client during wound care can provide emotional support for the client who is rehabilitating from major burns. Wound care can be painful and stressful for the client, so the nurse should use therapeutic communication skills to distract, reassure, and encourage him. The nurse should also explain the procedures and rationale for wound care and allow the client to express his feelings and concerns.

Choice D Reason: This is incorrect because assigning assistive personnel to keep his room neat and clean may not provide emotional support for the client who is rehabilitating from major burns. The client may appreciate a clean environment, but he may also need more direct and personal contact with the nurse. The nurse should spend time with the client and provide holistic care that addresses his physical, psychological, social, and spiritual needs.

A. Heart rate 122/min B. Urinary output 25 ml/hr C. Pain of 6 on a scale of 0 to 10 D. Difficulty swallowing

Correct Answer is D

Explanation

Choice A Reason: A heart rate of 122/min is elevated, but not life-threatening. It could be due to pain, anxiety, dehydration, or infection.

Choice B Reason: A urinary output of 25 ml/hr is low, but not critical. It could indicate fluid loss, kidney damage, or inadequate fluid resuscitation.

Choice C Reason: A pain level of 6 on a scale of 0 to 10 is moderate, but not severe. It could be managed with analgesics and non-pharmacological interventions.

Choice D Reason: This is the correct answer because difficulty swallowing can indicate airway obstruction, inhalation injury, or edema of the throat. It can compromise breathing and require immediate intervention.

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A client diagnosed with moderate Alzheimer's has been admitted to a long-term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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