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
While this client may need attention, the behavior is not immediately dangerous.
Choice B rationale
This client requires immediate attention due to the risk of harm to herself and others through throwing objects and yelling, which indicates potential for escalation.
Choice C rationale
Pacing, although concerning, does not pose an immediate risk of physical harm compared to Choice B.
Choice D rationale
The client is disruptive but not immediately dangerous compared to the client in Choice B who poses a more direct risk.
Correct Answer is D
Explanation
Choice A rationale
The PSDA is applicable to all adults, not just those who reach 65 years of age. It ensures patients can make their own health care decisions regardless of age.
Choice B rationale
Advance directives must be documented in writing. A verbal designation of a durable power of attorney is not legally sufficient.
Choice C rationale
Advance directives are applicable to all clients, including those receiving mental health care. They ensure a client’s treatment preferences are respected.
Choice D rationale
A witness is legally required to sign a client's living will to validate the document and ensure that it is the client's voluntary and informed decision.
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