A nurse is assisting with the care of a client who has dementia.
Which of the following actions should the nurse take?
Provide the client with a dark environment for sleeping.
Repeat orientation asks until the client gives a correct response.
Give the client a list of foods to choose from for dinner.
Make a personal introduction to the client at each interaction.
The Correct Answer is D
Choice A rationale
Providing the client with a dark environment for sleeping can aid in better rest and sleep quality, which is particularly important for clients with dementia who may have disrupted sleep patterns. However, it's essential to ensure that the environment is safe to prevent any accidents due to poor visibility.
Choice B rationale
Repeating orientation tasks until the client gives a correct response can help reinforce their memory and cognitive function. This practice is known as reality orientation, which is a therapeutic technique used to improve awareness of time, place, and person in clients with dementia.
Choice C rationale
Giving the client a list of foods to choose from for dinner provides autonomy and encourages decision-making. It helps in maintaining cognitive function and personal preferences, which can positively impact their mental health and quality of life.
Choice D rationale
Making a personal introduction to the client at each interaction helps in establishing a connection and reducing confusion. Clients with dementia often have short-term memory loss, so frequent reintroduction can provide reassurance and familiarity, contributing to their sense of security. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Light therapy can be an effective treatment for certain conditions, like seasonal affective disorder, but it typically does not require informed consent unless it's experimental or has significant risks.
Choice B rationale
Experimental medications require informed consent due to the potential unknown effects and risks. Ensuring the client is fully informed about the experimental nature and possible side effects is crucial.
Choice C rationale
Participating in a group exercise program generally does not require informed consent. These activities are typically part of routine care and considered low risk.
Choice D rationale
Attending a cognitive behavioral therapy class usually does not require informed consent beyond the initial agreement to participate in therapy. These sessions are standard parts of mental health care.
Correct Answer is D
Explanation
Choice A rationale
Withdrawn behaviors are not typically associated with antisocial personality disorder, which usually involves more outwardly aggressive and manipulative behaviors.
Choice B rationale
Blunted affect is more commonly associated with conditions like schizophrenia or depressive disorders, rather than antisocial personality disorder.
Choice C rationale
Excessively anxious behavior is more characteristic of anxiety disorders, not antisocial personality disorder, which often involves a lack of anxiety and remorse.
Choice D rationale
Exploitive of others is a key characteristic of antisocial personality disorder, as individuals often disregard the rights of others and manipulate them for personal gain.
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