A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Cognitive reframing.
Thought stopping.
Validation therapy.
Operant conditioning.
The Correct Answer is C
A reason: Cognitive reframing. Cognitive reframing involves changing the way a person thinks about a situation to reduce stress or anxiety. While useful in some cases, it is not the most appropriate technique for addressing delusions in clients with dementia.
B reason: Thought stopping. Thought stopping is a technique used to interrupt and control intrusive thoughts, often used in cognitive-behavioral therapy. It is not suitable for managing the delusions of a client with dementia.
C reason: Validation therapy. Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, validation therapy helps provide comfort and reduces distress by not challenging their beliefs.
D reason: Operant conditioning. Operant conditioning involves using reinforcement to encourage desired behaviors and discourage undesired ones. It is not appropriate for addressing the delusions of a client with dementia, as it does not validate their experiences.
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Related Questions
Correct Answer is C
Explanation
A reason: "These clients can receive packages after they are privately inspected by security." While security measures might be in place for the safety of all clients, it does not address a fundamental right of involuntarily admitted clients.
B reason: "These clients cannot be considered for a research study." Involuntarily admitted clients can be considered for research studies, but participation must be voluntary, and informed consent is required.
C reason: "These clients can vote in local and federal elections." Clients who are involuntarily admitted retain their civil rights, including the right to vote in local and federal elections. This statement accurately reflects their rights.
D reason: "These clients cannot refuse their prescribed antipsychotic medications." Involuntarily admitted clients retain the right to refuse medication, except in specific situations where they are deemed a danger to themselves or others, and legal protocols are followed.
Correct Answer is D
Explanation
A reason: Urinary retention. Urinary retention can occur with these medications, particularly with opioids like hydromorphone, but it is not typically an immediate priority compared to respiratory depression.
B reason: Blurred vision. Blurred vision can be a side effect of medications, but it is not as immediately critical as respiratory function.
C reason: Headache. A headache, while uncomfortable, is not as urgent as respiratory issues when managing clients on these medications.
D reason: Bradypnea. Bradypnea, or slowed breathing, is a serious and potentially life-threatening side effect of both diazepam and hydromorphone. It indicates respiratory depression, which requires immediate intervention to ensure the client's safety.
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