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A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?

Leave the client alone while ensuring safety, to allow the client to work through behaviors and feelings during the transition period.

Provide opportunities for education and continually evaluate the client's preferences and goals for care.

Limit the members of the team who can help the client while transitioning, to avoid adding confusion or uneasiness.

Inform the client about the need to move prior to the actual event.

Answer and Explanation

The Correct Answer is B

B. Provide opportunities for education and continually evaluate the client's preferences and goals for care:
This is the most effective intervention. Providing education and involving the client (to the extent possible) in decision-making helps reduce anxiety and build trust. Even though individuals with Alzheimer's disease may have limited memory and cognitive abilities, ongoing communication about the transition and individualized care plans can help ease the process. Additionally, continuously evaluating the client's preferences and goals ensures that the care plan remains person-centered and aligns with their needs, helping to minimize relocation stress.

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Correct Answer is B

Explanation

A. "I can't see anything from the sides of my eyes." This statement suggests a visual field deficit, which may be indicative of conditions affecting peripheral vision, such as glaucoma, retinal detachment, or optic nerve disorders. It is not a typical symptom of cataracts.

B. "My vision is almost gone from the center part of my eye." This statement indicates a central visual impairment, which is a common symptom of cataracts. Cataracts cause clouding of the lens, leading to blurred or dimmed vision, especially in the center of the visual field. This symptom often progresses gradually over time.

C. "My contact lenses just don't fit like they used to." This statement suggests discomfort or fit issues with contact lenses and is not specifically indicative of cataracts. It may be related to changes in the shape or health of the cornea, conjunctiva, or tear film.

D. "I keep seeing flashes of lights moving around in my eye." Flashes of light in the visual field are not typical symptoms of cataracts. They may indicate other ocular conditions such as vitreous detachment, migraines with aura, or retinal disorders.

A. The client whose mother and uncle were diagnosed with this same condition. B. The client who is recovering from a recent illness that caused vomiting and diarrhea. C. The client who is out of work and has been experiencing increased stress. D. The client who uses oxygen at night to treat obstructive sleep apnea.

Correct Answer is A

Explanation

A. The client whose mother and uncle were diagnosed with this same condition: Hypertrophic cardiomyopathy (HCM) often has a genetic component, with a familial predisposition observed in many cases. Individuals with a family history of HCM, especially in first-degree relatives such as parents or siblings, are at higher risk of developing the condition due to genetic factors.

B. The client who is recovering from a recent illness that caused vomiting and diarrhea: Acute illnesses such as vomiting and diarrhea can lead to dehydration, electrolyte imbalances, and transient changes in cardiac function. While dehydration and electrolyte imbalances may exacerbate symptoms in individuals with existing cardiac conditions, they are not primary risk factors for developing hypertrophic cardiomyopathy (HCM).

C. The client who is out of work and has been experiencing increased stress: Chronic stress and psychosocial factors may contribute to the progression of cardiovascular disease in general, but they are not specific risk factors for developing hypertrophic cardiomyopathy (HCM).

D. The client who uses oxygen at night to treat obstructive sleep apnea: While obstructive sleep apnea is associated with cardiovascular complications, including hypertrophic cardiomyopathy (HCM), the use of oxygen therapy at night to treat sleep apnea does not directly increase the risk of developing HCM. However, untreated obstructive sleep apnea may lead to chronic hypoxia and other cardiac issues over time.

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A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client related to changes in vision. Which of the following statements indicates that the client might be developing a cataract?

Correct Answer is B

Explanation

A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM). Which of the following clients should the nurse understand is most at risk for developing HCM?

Correct Answer is A

Explanation

A nurse is assessing a client who has Lewy body dementia. The nurse should recognize that which of the following is responsible for changes in thinking, communication, movement, and emotional processing in Lewy body dementia?

A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

A nurse is teaching clients at a senior center about the etiology of Alzheimer's disease. Which of the following statements by a client indicates the need for further teaching?

A nurse is developing a plan of care for a client who has Meniere’s disease. Which of the following medications should the nurse anticipate administering?

A nurse is teaching a client who has symptomatic atrial fibrillation about manifestations to expect. Which of the following should the nurse include in the teaching? (Select All that Apply.)

A nurse is assessing a client who is experiencing an episode of tinnitus. Which of the following statements from the client indicates that the tinnitus might be affecting their well-being?

A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?

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