A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Encourage the family to join a support group.
Engage the family in informal conversation.
Provide the family with information about respite care.
Educate the family regarding the progression of dementia.
The Correct Answer is B
. Engage the family in informal conversation. The first step in caring for a client with dementia is to establish a relationship of trust and comfort with the client and their family. Engaging the family in informal conversation can help the nurse gain insight into the family's needs and concerns, as well as provide an opportunity to establish rapport. Encouraging the family to join a support group, providing information about respite care, and educating the family regarding the progression of dementia are important steps in caring for a client with dementia, but they should follow the initial step of engaging the family in informal conversation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice b. Teaching about inhaler use to a client who has asthma.
Choice A rationale:
Educating adults about breast cancer screening guidelines is an example of secondary prevention. It aims to detect and treat disease early to halt its progress.
Choice B rationale:
Teaching about inhaler use to a client who has asthma is an example of tertiary prevention. It involves managing an existing chronic condition to prevent complications and improve quality of life.
Choice C rationale:
Providing STI testing for students on a college campus is an example of secondary prevention. It focuses on early detection and treatment to prevent the spread of infections.
Choice D rationale:
Promoting the use of helmets with children who ride bicycles is an example of primary prevention. It aims to prevent injury before it occurs by encouraging safe practices.
Correct Answer is ["B","C","D"]
Explanation
The correct answers are B, C, and D. The nurse should assist the client in using guided imagery, maintain the head of the client's bed in an elevated position after eating, and provide sips of room-temperature ginger ale between meals. Guided imagery can help distract the client from the nausea and promote relaxation.
Elevating the head of the bed after eating can help prevent reflux and nausea. Ginger ale can help relieve nausea and can be sipped slowly between meals. Using seasonings to enhance the flavor of foods is not likely to help with chemotherapyinduced nausea, and cold milk as a meal replacement may not provide enough calories and nutrients.
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