A nurse is caring for a client who has Alzheimer's disease and is confused.
Which of the following actions should the nurse take?.

Keep the television on at all times.

Hang abstract pictures on the walls.

Keep familiar personal items in client's room.

Encourage bright lighting in the room.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.

Choice B rationale:

Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.

Choice C rationale:

Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.

Choice D rationale:

Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.

So, the correct answer is C. Keep familiar personal items in client’s room.

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Correct Answer is C

Explanation

Choice A rationale:

Asking “Why don’t you want to take the medication?” can help the nurse understand the client’s concerns or fears about the medication. However, it may come across as confrontational.

Choice B rationale:

Saying “I always do what the doctor tells me to do” does not address the client’s concerns and imposes the nurse’s personal beliefs on the client.

Choice C rationale:

Asking “Tell me more about this decision” is an open-ended question that encourages the client to express their feelings and concerns, allowing the nurse to provide appropriate education and support.

Choice D rationale:

Telling the client “You won’t get better unless you take the medication” is a threatening statement that does not respect the client’s autonomy or feelings.

So, the correct answer is C, “Tell me more about this decision.”.

A. Withhold dose if having a fine hand tremor. B. Avoid foods with a high tyramine content. C. Limit daily fluid intake. D. Follow a low-sodium diet.

Correct Answer is A

Explanation

Choice A rationale:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B rationale:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C rationale:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D rationale:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.

So, the correct answer is, none of the above.

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A nurse is caring for a client who has Alzheimer's disease and is confused.Which of the following actions should the nurse take?.

Nursing Test Bank

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A nurse is caring for a client who has Alzheimer's disease and is confused.
Which of the following actions should the nurse take?.