A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?
Encourage the client to talk about current events.
Give directions using simple phrases
Orient the client to time and place twice per day
Rotate assistive personnel to help the client with ADLs
The Correct Answer is B
b. Give directions using simple phrases.
The correct answer is b. Give directions using simple phrases.
Explanation:
When assisting with the plan of care for a client with Alzheimer's disease, it is important to consider their cognitive impairments and provide appropriate interventions. Giving directions using simple phrases is recommended because it helps the client beter understand and follow instructions. Complex or lengthy directions can be confusing and overwhelming for individuals with Alzheimer's disease. Using clear and concise language can enhance communication and facilitate the client's ability to engage in activities of daily living.
Explanation for the other options:
a. Encourage the client to talk about current events: While social interaction and engagement are beneficial for clients with Alzheimer's disease, their ability to comprehend and discuss current events may be limited due to cognitive impairments. It is important to adapt communication to the client's cognitive abilities and interests.
c. Orient the client to time and place twice per day: Frequent orientation to time and place can be helpful for clients with Alzheimer's disease, but the specific frequency should be based on the individual's needs and preferences. Some individuals may require more frequent orientation, while others may find it overwhelming. The plan of care should be individualized to address the client's specific needs.
d. Rotate assistive personnel to help the client with ADLs: Consistency and familiarity are important for individuals with Alzheimer's disease. Rotating assistive personnel frequently may disrupt the client's routine and cause increased confusion and agitation. Whenever possible, it is best to maintain a consistent caregiving team to provide familiarity and establish a therapeutic relationship with the client.
In summary, giving directions using simple phrases is an appropriate action when assisting with the plan of care for a client with Alzheimer's disease. This approach promotes effective communication and enhances the client's ability to understand and follow instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct answer: C
A) Start the first patch on the seventh day of the menstrual cycle: The patch is typically applied on the first day of the menstrual cycle or the first Sunday after the menstrual period begins, not on the seventh day. This helps ensure effective contraception from the start of use.
B) The contraceptive effect will continue for 6 months following discontinuation of the medication: The contraceptive effect of the patch does not last for 6 months after discontinuation. Once the patch is removed and not replaced, hormone levels drop, and fertility can return relatively quickly, typically within a few days to weeks.
C) Apply the patch to the lower abdomen: The patch should be applied to clean, dry, and intact skin on areas such as the lower abdomen, upper outer arm, buttock, or upper torso (excluding the breasts). This location allows for consistent hormone absorption.
D) Expect to have a headache during the first month: While some individuals may experience headaches as a side effect of hormonal contraceptives, this is not an expected or guaranteed outcome. Any persistent or severe headache should be reported to the healthcare provider, as it could indicate other concerns.
Correct Answer is B
Explanation
To effectively communicate with a client who speaks a different language, it is important to use alternative methods of communication. One effective method is to supplement spoken language with pictures or visual aids. This can help bridge the language barrier and enhance understanding between the nurse and the client.
Recognize that the client nodding indicates an understanding of the information: Nodding does not always indicate understanding. It could be a cultural gesture or a sign of politeness. Relying solely on nodding may lead to miscommunication and misunderstanding.
Speak to the client at an increased volume: Speaking louder does not necessarily overcome the language barrier. It may make communication more difficult and could be perceived as rude or intimidating.
Ask a family member of the client to interpret: While involving a family member may seem helpful, it is not always reliable or appropriate. Family members may not be proficient in both languages or may not fully understand medical terminology. Additionally, the client may desire privacy or may not want to burden their family members with the responsibility of interpretation.
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