A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

It's okay to skip the session but the others will get ideas.

will just stay with you for a while.

You don't feel like attending the group therapy today?"

Why don't you want to attend group therapy?"

Answer and Explanation

The Correct Answer is C

A.   This response is dismissive and doesn't address the client's feelings. It also implies that the client's absence will negatively impact the group, which is not helpful.
B.   While this shows empathy, it doesn't address the client's reason for not wanting to attend the group.
C.   This response acknowledges the client's feelings without being judgmental and opens a space for further communication.
D.   This question might put the client on the defensive and can be perceived as challenging. It's important to create a safe and supportive environment for the client to express their feelings.

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Correct Answer is ["A","C","E"]

Explanation

A. Providing companionship can help reduce feelings of isolation and agitation that may be exacerbated by sundown syndrome. Presence and interaction with a supportive person can provide comfort, reassurance, and a sense of security, which may help manage anxiety and agitation during the late hours.
B. Engaging in stimulating activities in the late afternoon or evening can sometimes worsen symptoms of sundown syndrome. Instead, activities should be calming and relaxing as excessive stimulation can
increase agitation and confusion. It’s better to plan stimulating activities earlier in the day.
C. Maintaining a familiar routine helps provide structure and predictability, which can be comforting for individuals with dementia. Consistent routines can help reduce confusion and anxiety, especially during the times when sundown syndrome symptoms are most pronounced.
D. While reminding the client about bedtime may seem like a good strategy, it can sometimes lead to frustration or increased agitation if the client is not ready for sleep or is confused. It is generally more effective to create a calming environment and use soothing routines rather than directly reminding the client of bedtime.
E. Reducing environmental stimulation, such as minimizing noise, bright lights, and other distractions, can help create a calm and peaceful environment. This approach can help prevent overstimulation, which is known to exacerbate sundown syndrome symptoms.

A. If the client tends to pace a lot, be sure to encourage her to sit during interactions. B. If she doesn't understand the communication, change key words. C. Use simple, familiar words, along with short and simple sentences. D. Use hand gestures when speaking to try to explain what is being said.

Correct Answer is C

Explanation

A. While it might be helpful to reduce distractions, forcing someone to sit down can be counterproductive and stressful. It's important to respect the client's needs and preferences.
B. Changing key words might confuse the client further, as they may lose the context of the conversation. It's better to rephrase the sentence using simpler language.
C. This is the most effective communication technique for individuals with Alzheimer's disease. As the disease progresses, language skills deteriorate, and simple communication is easier to understand.
D. While hand gestures can be helpful in some cases, they should be used in conjunction with verbal communication, not as a replacement. Overreliance on gestures can be confusing for the client.

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A client who usually is very active in her therapy group tells the nurse that she really does "not feel well today" and would "rather not attend the group therapy session. Which is the nurse's most appropriate response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

Correct Answer is ["A","C","E"]

Explanation

Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?

Correct Answer is C

Explanation

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