A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

Education

Support

Safety

Cognitive interventions

Answer and Explanation

The Correct Answer is C

Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.

Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.

Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.

Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.

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Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Requesting quiet to sleep does not necessarily support a diagnosis of a manic episode.
Choice B reason: This choice is incorrect. Feeling tired and wanting to rest is not indicative of a manic episode, which is typically characterized by increased energy and activity.
Choice C reason: This is the correct choice. The statement about the purple hat and zebra-striped pants suggests a lack of awareness of social norms and possibly grandiosity or ﬂamboyance, which can be indicative of a manic episode.
Choice D reason: This choice is incorrect. Concern about appearance does not specifically support a diagnosis of a manic episode.

A. A client with a blood glucose level of 110 mg/dL (6.1 mmol/L). B. A client who sustained a fractured femur in a motor vehicle crash. C. An adult client being prepared for a laparoscopic cholecystectomy. D. An older adult client with sepsis from a urinary tract infection.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

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A client is diagnosed with dementia that has progressed significantly. Which would be the priority for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who suﬀers from bipolar disorder is admited to a mental health unit for a manic episode. Which statement by the client supports this diagnosis?

Correct Answer is C

Explanation

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Correct Answer is D

Explanation

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

A 9-year-old patient with atention deficit hyperactivity disorder (ADHD) has been prescribed a stimulant. The nurse knows that the teaching has been eﬀective when the patient's parents make which statement?

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping eﬀectively with daily obsessions and compulsions?

The nurse caring for an older adult client with dementia asks the client's children to bring old photo albums when they visit. Which best describes the benefit of viewing photos when caring for the client?

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?