A nurse is caring for a patient who has dementia due to Alzheimer's disease and was admitted to a long-term care facility following the death of her partner of 40 years. The patient states, "I want to go home; my husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate?
"This is where you live now."
"This is a safer place for you to live."
"Your family said there is no one to care for you at home."
"Tell me what you like to cook for dinner."
The Correct Answer is D
A. Stating "this is where you live now" may cause frustration.
B. Telling the patient it is safer does not acknowledge their emotions.
C. Mentioning family decisions may increase anxiety.
D. This approach validates the patient’s feelings and redirects the conversation without causing distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chart – Contains patient information but is not used for immediate verification before transfusion.
B. Order sheet – Ensures the transfusion is ordered but does not confirm patient identity.
C. Medication administration record – Lists medications but is not used to verify transfusion identity.
D. Identification wristband – Correct Answer. The wristband is the most accurate and immediate source for patient verification before administering blood products.
Correct Answer is A
Explanation
A. Alert and oriented, blood and urine without ketones, no orthostatic blood pressure changes – These findings indicate improved hydration, resolution of hyperosmolarity, and recovery of neurological function, key markers of HHS improvement.
B. Alert and oriented, balanced intake and output, moist mucous membranes – While improved hydration is good, ketone clearance and hemodynamic stability are more important indicators.
C. Respirations easy and unlabored, eats 50-75% of meals, vital signs stable – Respiratory status is not the primary concern in HHS.
D. Equal intake and output, denies pain or shortness of breath – These signs do not specifically indicate resolution of HHS.
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