A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

physical loss

Functional loss

Affective loss

Conative loss

Answer and Explanation

The Correct Answer is B

A: Physical loss typically refers to the loss of a body part or function directly due to physical changes.
B: Functional loss refers to a decrease in the ability to perform activities of daily living, such as bathing and dressing, which is common in Alzheimer's disease.
C: Affective loss relates to emotional or psychological losses.

D: Conative loss would pertain to motivation or volition, not directly related to physical activities like bathing or dressing.

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Correct Answer is A

Explanation

A: SSRIs are often the first-line treatment for depression in older adults due to a favorable side effect profile compared to other antidepressants.
B: Benzodiazepines are not typically used as they can increase the risk of falls and confusion.
C: Hypnotics are used for sleep issues but are not antidepressants.

D: Monoamine oxidase inhibitors are effective but often reserved for cases where other treatments have failed due to their dietary restrictions and side effects.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?

Correct Answer is A

Explanation

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

Correct Answer is B

Explanation

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