A nurse is caring for a client who has dementia and is experiencing disorientation. Which of the following actions should the nurse take?
Approach the client from the front.
Avoid having a structured schedule
Remove clocks from the room
Give detailed explanations
The Correct Answer is A
A. Approach the client from the front: Approaching the client from the front is important to avoid startling them, especially if they are disoriented. It helps ensure they are aware of your presence and reduces confusion or anxiety.
B. Avoid having a structured schedule: A structured schedule is actually beneficial for clients with dementia. Routine helps provide stability and reduces anxiety by giving the client a sense of predictability and control.
C. Remove clocks from the room: Removing clocks is not recommended. Clocks can help orient the client to time and provide a sense of structure. It may be more helpful to use large clocks or calendars with clear time indicators.
D. Give detailed explanations: Giving detailed explanations may overwhelm the client, especially if they are disoriented. It’s more effective to provide simple, clear instructions and focus on one thing at a time.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Avoid over-the-counter magnesium when taking this medication: There is no specific contraindication between doxepin and magnesium supplements. However, clients should consult their healthcare provider before using any over-the-counter products.
B. Eat a snack before going to bed: While this is not incorrect for some medications, it is not a primary teaching point for doxepin. The medication's primary side effect concerns are sedation and orthostatic hypotension, not hunger-related issues.
C. Sit on the side of the bed for a few minutes before standing: Doxepin, a tricyclic antidepressant, can cause orthostatic hypotension, leading to dizziness when standing. Sitting on the side of the bed before standing helps reduce this risk by allowing the body to adjust to the change in position.
D. Decrease the prescribed dose by half when mood improves: Clients should never adjust their prescribed medication dose without consulting their provider. Abruptly stopping or reducing the dose can cause withdrawal symptoms or a relapse of depressive symptoms.
Correct Answer is B
Explanation
A. "The honeymoon stage of violence usually gets longer over time": The honeymoon stage typically becomes shorter as the cycle of abuse progresses. Over time, the tension-building and abusive episodes tend to increase in frequency and intensity.
B. "Survivors of abuse often feel guilty": Survivors of intimate partner abuse often feel guilty, ashamed, or responsible for the abuse. They may believe they somehow provoked the violence or could have prevented it.
C. "As abuse continues, victims become more determined to be independent": Victims of abuse often become more dependent over time due to manipulation, fear, and control exerted by the abuser. They may find it difficult to leave or make independent decisions.
D. "Abusers often have high self-esteem": This statement is generally inaccurate as abusers often have low self-esteem and may use controlling behaviors as a way to mask feelings of inadequacy or insecurity.
Complete the following sentence by using the lists of options.
The client is at risk of developing