A nurse in an acute care facility is assisting with the admission of an older adult client who has late stage Alzheimer's disease. The nurse notes that the client's partner appears exhausted. He states that he is finding it more and more difficult to care for his partner. Which of the following actions should the nurse take first?

Suggest that the client's partner see a counselor to help him cope with his exhaustion.

Encourage the client's partner to call a family meeting to ask for help.

Ask the partner to talk about his difficulties in caring for the client.

Recommend that the client's partner place the client in a long-term care facility.

Answer and Explanation

The Correct Answer is C

A: While counseling may eventually be helpful, initially encouraging the partner to express his difficulties provides immediate emotional support and can help assess the needs more clearly.
B: Calling a family meeting may be beneficial, but first understanding the specific struggles can help inform what help is needed from family members.
C: This approach allows the nurse to gather more information about the partner's specific struggles and provide tailored support and resources.

D: Recommending placement in a long-term care facility might eventually be necessary, but it should follow an assessment and discussion of all options and supports available.

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Correct Answer is C

Explanation

A: A change in preference does not indicate delirium.

B: Suspicions of poisoning may suggest delusion but not specifically delirium.

C: Confusion about time and the recent presence of family members are typical signs of delirium.
D: Requesting extra blankets in a warm room may indicate altered thermal perception but is not a clear indicator of delirium.

A. Use an overhead loudspeaker to announce events. B. Post a written schedule of daily activities. C. Allow the client to choose free-time activities D. Provide a consistent daily routine.

Correct Answer is D

Explanation

A: Using an overhead loudspeaker can be disorienting or frightening for clients with dementia.
B: A written schedule may not be helpful if the client has difficulty reading or understanding due to cognitive decline.
C: While allowing choices is good, it can be overwhelming for someone with dementia depending on their cognitive ability.
D: A consistent routine helps provide structure and predictability, which can reduce confusion and anxiety in clients with dementia.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

Which therapeutic intervention would the nurse include in a care plan for a client with Alzheimer's disease?

A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

A young adult moves to a new town and is unable to establish relationships because of geographical distance to other towns and a sparsely populated community. This young adult is at greatest risk for which of the following?

In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Which medication would the nurse expect to be prescribed for a client with moderate stages of Alzheimer's disease?

Which of the following is a physical clinical finding of depression in older adults?

A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?

A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?