A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Encourage physical activity prior to bedtime

Wear clothing with zippers instead of buttons.

Replace the carpet with hardwood floors

Place locks at the tops of exterior doors.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Encourage physical activity prior to bedtime: Stimulating activity close to bedtime can increase agitation and make it harder for clients with Alzheimer’s disease to settle for sleep. Calming routines in the evening are more appropriate to reduce nighttime confusion and restlessness.

B. Wear clothing with zippers instead of buttons: Although zippers are often easier than buttons, clients with Alzheimer’s may have difficulty with any fasteners. Simple clothing with Velcro or elastic waists is typically more suitable to promote independence.

C. Replace the carpet with hardwood floors: Carpets provide traction and cushioning, which can help prevent injuries from falls. Hardwood floors may be slippery or cause confusion due to glare or unfamiliar patterns, increasing fall risk.

D. Place locks at the tops of exterior doors: Clients with Alzheimer’s are at risk for wandering. Installing locks at the tops of doors—out of the client's usual line of sight—helps prevent elopement while preserving safety in the home environment.

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Correct Answer is B

Explanation

Rationale:

A. Disenfranchised: Disenfranchised grief occurs when the person's mourning is not socially recognized or supported, such as grieving an ex-partner or a stigmatized relationship. In this scenario, the grief is acknowledged and expected, making this option less appropriate.

B. Anticipatory: Anticipatory grief happens when individuals begin mourning a loss before it occurs, as in terminal illness. The family member’s struggle with “letting her go” reflects emotional processing of an expected death before it happens.

C. Delayed: Delayed grief is a postponed emotional response to a loss, often surfacing long after the event. Since the family member is currently expressing emotional difficulty, this is not an example of delayed grief.

D. Exaggerated: Exaggerated grief is intense, overwhelming, and can impair functioning. It may include suicidal ideation or severe depression. The statement indicates sadness and difficulty coping, but not extreme or dysfunctional symptoms.

A. Discuss the client's food preferences with the hospital's dietitian. B. Allow the client's family to bring food from home for the client C. Offer the client's meals on a different schedule. D. Request the provider change the client's prescribed diet

Correct Answer is A

Explanation

Rationale:

A. Discuss the client's food preferences with the hospital's dietitian: Collaborating with the dietitian allows the meal plan to be adjusted based on the client’s cultural, religious, or taste preferences while still meeting dietary requirements. This promotes adherence to the prescribed diet and supports patient-centered care.

B. Allow the client’s family to bring food from home for the client: While family support is valuable, food brought from home may not comply with the ADA diet. This can compromise glucose control unless the food is reviewed and approved by a dietitian.

C. Offer the client’s meals on a different schedule: Changing the meal schedule may not address the client’s refusal to eat if the issue is related to food content rather than timing. Consistency in meal timing is also important in managing blood glucose levels.

D. Request the provider change the client’s prescribed diet: Altering the diet order without first exploring and addressing the client’s preferences or challenges may lead to poor glucose control. The nurse should advocate for personalized modifications rather than a blanket diet change.

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A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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