A nurse in a long-term care unit is assisting in the care of a patient who has Alzheimer’s disease. What actions should the nurse take?
Participate in reminiscence therapy with the patient.
Raise the four side rails on the patient’s bed.
Alternate the patient’s daily routine.
Keep the lights dimmed.
The Correct Answer is A
Choice A rationale
Participating in reminiscence therapy can be beneficial for patients with Alzheimer’s disease. This therapy involves discussing past experiences and life events, which can help improve mood, enhance communication, and maintain self-identity.
Choice B rationale
Raising all four side rails on a patient’s bed is not recommended. This can be considered a form of restraint and can increase the risk of injury if the patient attempts to climb over the rails. It’s important to promote a safe environment while respecting the patient’s rights.
Choice C rationale
Alternating the patient’s daily routine can be confusing and disorienting for individuals with Alzheimer’s disease. Maintaining a consistent routine can provide a sense of security and predictability.
Choice D rationale
Keeping the lights dimmed is not specifically beneficial for patients with Alzheimer’s disease. Adequate lighting can help prevent falls and other accidents. However, creating a calm and quiet environment can help reduce agitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A sigmoidoscopy is a procedure used to examine the lower part of the colon (sigmoid colon and rectum). The knee-chest position allows for better visualization of the sigmoid colon by straightening the rectosigmoid junction.
Choice B rationale
The prone position is not typically used for sigmoidoscopy. This position does not provide optimal visualization of the sigmoid colon.
Choice C rationale
The orthopneic position, which involves sitting up and leaning forward, is not used for sigmoidoscopy.
Choice D rationale
The Trendelenburg position, which involves lying flat with the feet elevated higher than the head, is not used for sigmoidoscopy.
Correct Answer is A
Explanation
Ulcerative colitis is a chronic inflammatory bowel disease that increases the risk of colorectal cancer. Long-standing ulcerative colitis causes continuous inflammation and damage to the cells of the colon, which can lead to cancer over time.
Choice B rationale
Chronic constipation does not directly increase the risk of colorectal cancer. However, a diet low in fiber and high in fat and red meat, which can contribute to constipation, is associated with an increased risk of colorectal cancer.
Choice C rationale
Biliary colic is a symptom of gallstones and is not a risk factor for colorectal cancer.
Choice D rationale
Duodenal ulcers are a type of peptic ulcer disease and are not a risk factor for colorectal cancer.
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