A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Visual field cuts

Decreased CD4 counts

Shuffling gait

Chorea

Answer and Explanation

The Correct Answer is C

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

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Correct Answer is A

Explanation

A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.

B. This option may not be appropriate without further assessment of the client's ability to care for their children.

C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.

D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.

A. "Adhering to a medication regimen will likely cure mental illness." B. "It's uncommon to experience manifestations after a few days of medication treatment." C. "The willpower of the client determines manifestations remission." D. "The brain's ability to adapt is very Individual and plays a role in symptom severity."

Correct Answer is D

Explanation

D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.

A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.

B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.

C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.

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A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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