A home health nurse is assisting a family member with planning care for a client who has Alzheimer's disease. Which of the following instructions should the nurse include?
Remove clutter from rooms and hallways.
Place a monthly calendar in the client's room.
Use confrontation to manage the client's behavior.
Review the daily schedule with the client every morning.
The Correct Answer is A
Rationale:
A. Remove clutter from rooms and hallways: Keeping the environment free of clutter helps reduce confusion, prevents falls, and promotes safety for clients with Alzheimer’s disease, who often have impaired spatial awareness and judgment.
B. Place a monthly calendar in the client's room: A monthly calendar may be too complex and difficult for a client with Alzheimer's to interpret. Simpler tools, like a daily schedule or clock with the day and date, are more appropriate for supporting orientation.
C. Use confrontation to manage the client's behavior: Confrontation can increase agitation and confusion in clients with Alzheimer’s disease. A calm, supportive, and redirecting approach is more effective for managing difficult behaviors.
D. Review the daily schedule with the client every morning: While routine is beneficial, clients with moderate to severe Alzheimer’s may not retain or comprehend daily plans. Short, simple reminders throughout the day are often more effective than once-daily reviews.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Remove clutter from rooms and hallways: Keeping the environment free of clutter helps reduce confusion, prevents falls, and promotes safety for clients with Alzheimer’s disease, who often have impaired spatial awareness and judgment.
B. Place a monthly calendar in the client's room: A monthly calendar may be too complex and difficult for a client with Alzheimer's to interpret. Simpler tools, like a daily schedule or clock with the day and date, are more appropriate for supporting orientation.
C. Use confrontation to manage the client's behavior: Confrontation can increase agitation and confusion in clients with Alzheimer’s disease. A calm, supportive, and redirecting approach is more effective for managing difficult behaviors.
D. Review the daily schedule with the client every morning: While routine is beneficial, clients with moderate to severe Alzheimer’s may not retain or comprehend daily plans. Short, simple reminders throughout the day are often more effective than once-daily reviews.
Correct Answer is C
Explanation
Rationale:
A. "I'm concerned because I'm so tired all the time.": Fatigue is a common manifestation of SLE caused by chronic inflammation, anemia, or medication effects. While it impacts daily function, it is not an immediate threat compared to signs of infection, which can become life-threatening quickly in immunosuppressed clients.
B. "I feel like I'm isolated from all my friends now.": Emotional concerns like isolation are important in managing chronic illness, but they are not urgent physical issues. Addressing psychosocial health is necessary, but it does not take precedence over symptoms that may indicate infection or disease flare.
C. "I've had a fever the last couple of days.": Fever is a priority concern in clients with SLE as it may signal an active infection or disease flare. Immunosuppressive therapy increases the risk of severe infections, which can rapidly worsen if not treated promptly, making this the most urgent issue.
D. "I have a lot of questions about this disease.": Education is vital for long-term disease management and patient empowerment. However, it is not an immediate priority when signs of acute illness, such as fever, are present and require prompt clinical attention.
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