A nurse in a provider's office is assessing a client who has dementia. Which of the following findings should the nurse expect?
Traumatic flashbacks
Clang associations
Difficulty finding words
Revenge seeking behaviour
The Correct Answer is C
A. Traumatic flashbacks: Flashbacks are more commonly associated with post-traumatic stress disorder (PTSD), not dementia. Clients with dementia may experience confusion or memory loss but not typically flashbacks.
B. Clang associations: Clang associations, which involve the use of rhyming words or sounds that are not connected in meaning, are more common in conditions like schizophrenia, not dementia.
C. Difficulty finding words: Difficulty finding words (aphasia) is a common symptom of dementia. As the condition progresses, clients often experience challenges with communication, including word-finding difficulties and trouble with speech.
D. Revenge seeking behavior: Revenge-seeking behavior is not a typical characteristic of dementia. While individuals with dementia may become agitated or exhibit behavioral changes, these are usually related to confusion or frustration, not planned revenge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A medication group: A medication group can help clients understand their medications, but it may not be the best for helping them adapt to the health care setting. Medication groups typically focus on pharmacological aspects rather than emotional or social adaptation.
B. A community meeting: A community meeting is an appropriate resource to help a newly admitted client adjust to the health care setting. These meetings allow clients to connect with others, learn about the structure of the facility, and share their experiences, which aids in their social and emotional adaptation.
C. A self-help meeting: Self-help meetings, such as those for addiction or mental health disorders, are useful for ongoing recovery, but they may not specifically help the client adapt to the new environment of a mental health facility.
D. A symptom-management group: While symptom-management groups can be helpful for clients to manage their mental health conditions, they do not specifically address adaptation to the healthcare setting, which is the primary need for a newly admitted client.
Correct Answer is B
Explanation
A. Partial Hospitalization Programs (PHP): While PHP offers structured programs during the day, it typically requires the client to be able to attend regularly. Given that the client has no transportation, this may not be a feasible option.
B. Assertive Community Treatment (ACT): ACT is a comprehensive, community-based service designed for individuals with severe mental health disorders, such as schizoaffective disorder. It offers home visits, transportation, and 24/7 support, which would be ideal for this client.
C. Crisis Stabilization/Observation Units: These units are designed for short-term stays during a crisis but are not long-term solutions for clients with ongoing needs like those of a client with schizoaffective disorder. They are more suited for acute stabilization rather than continuous care.
D. Intensive Outpatient Programs (IOPs): IOPs require the client to attend scheduled sessions, which may be difficult without transportation. Although they provide intensive treatment, they may not fully address the need for at-home and community-based support for this client.
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