A nurse is preparing to administer haloperidol 7 mg lIM to a client who is severely agitated. Available is haloperidol injection 5 mg/mL. How manymL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason:
The statement "Improving cognitive status with transcranial magnetic stimulation" is not typically included in the standard treatment options for Alzheimer's disease. While transcranial magnetic stimulation (TMS) is being researched for various neurological conditions, its efficacy in treating Alzheimer's disease is not well-established. Current treatments focus more on medications that can help manage symptoms and slow disease progression.

Choice B reason:
The statement "Controlling anxiety with barbiturate medications" is not recommended. Barbiturates are generally avoided in elderly patients, including those with Alzheimer's disease, due to their high risk of side effects and potential for dependence. Instead, other medications such as antidepressants or antipsychotics may be used to manage anxiety and other psychiatric symptoms associated with Alzheimer's.

Choice C reason:
The statement "Initiating hospice care services when the client has 6 months or less to live" is important but not relevant to the initial teaching for a newly diagnosed client. Hospice care is considered when the disease has progressed to a terminal stage, and the focus shifts to palliative care. Early-stage treatment focuses on managing symptoms and maintaining quality of life.

Choice D reason:
The statement "Delaying cognitive impairment with NMDA receptor agonist medications" is the correct response. NMDA receptor antagonists, such as memantine, are used to treat moderate to severe Alzheimer's disease. These medications help regulate glutamate activity in the brain, which can improve cognitive function and slow the progression of symptoms.

Choice A reason:
The statement "Recommend that the client participate in more solitary activities" is not advisable. Solitary activities can sometimes exacerbate feelings of isolation and depression. Instead, engaging in social activities and seeking support from friends, family, or support groups can be more beneficial for someone experiencing grief.

Choice B reason:
The statement "Explain to the client that the duration of grief is highly variable and can last for years" is the correct response. Grief is a highly individual process, and there is no set timeline for how long it should last. Normalizing the client's experience and validating their feelings can help them understand that their prolonged grief is not unusual.

Choice C reason:
The statement "Encourage the client to avoid discussing the events surrounding the sibling's death" is not appropriate. Discussing the events and expressing emotions related to the loss are important aspects of the grieving process. Avoiding these discussions can hinder the client's ability to process their grief.

Choice D reason:
The statement "Caution the client against feeling angry at the sibling" is not advisable. Anger is a common and natural part of the grieving process. It is important to validate the client's feelings and help them understand that it is okay to feel a range of emotions, including anger.