A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

"He may begin to try to cover recognition of his memory loss by creating events."

"He may have difficulty in a motor skill such as walking."

"The inability to communicate with speech comes immediately after the early signs."

"He may not recognize you and other people who have been in his life."

Answer and Explanation

The Correct Answer is A

A. "He may begin to try to cover recognition of his memory loss by creating events." As
dementia progresses, individuals may experience confabulation, which involves creating false memories to compensate for memory loss. This is a common symptom seen in the middle stages of dementia.

B. "He may have difficulty in a motor skill such as walking." While motor skills may be affected in the later stages of dementia, it is not typically one of the early signs.

C. "The inability to communicate with speech comes immediately after the early signs." This statement is not accurate. Communication difficulties may occur in later stages, but it is not an immediate progression from early signs.

D. "He may not recognize you and other people who have been in his life." This symptom, known as agnosia, may occur in later stages of dementia, but it is not one of the early signs.

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Correct Answer is C

Explanation

A) Incorrect. Placing metal utensils on the client's meal tray may pose a safety risk, especially considering the recent suicide attempt.

B) Incorrect. Assigning the client to a private room may be beneficial for privacy, but the more immediate concern is ensuring the safety of the client by inspecting personal belongings.

C) Correct. Inspecting the client's personal belongings is crucial to remove any potentially harmful items that the client may use to harm themselves.

D) Incorrect. Tucking bedcovers over the client's hands and arms is not a specific intervention related to the recent suicide attempt.

A. "The reduction process is very short." B. "This depends on the frequency of usage only." C. "A planned reduction is not necessary." D. "Gradual downward tapering off this drug is necessary."

Correct Answer is D

Explanation

A. This option is too vague and doesn't provide specific guidance about the detoxification process for alprazolam.
B. Frequency of usage is one factor, but it's not the only consideration in the detoxification process.
C. A planned reduction is necessary to safely taper off alprazolam and minimize withdrawal symptoms.
D. This option provides the best guidance, emphasizing the importance of a gradual and controlled tapering process for alprazolam.

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A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A client asks the nurse to give her information regarding the detoxification process of alprazolam. What is the best response by the nurse?

Correct Answer is D

Explanation

Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

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