A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

"Disguise exit doors in his home with posters."

"Weigh the client once per month."

"Keep the lights in his room off at night."

"Offer him several food choices prior to meal times."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

People with dementia may become disoriented and attempt to leave their homes. Disguising exit doors with posters or camouflage can help prevent wandering and promote safety.

Choice B rationale:

Weighing the client once per month is not directly related to dementia care and safety.

Choice C rationale:

Keeping lights on at night can help prevent falls and confusion in people with dementia.

Choice D rationale:

Offering several food choices prior to meal times can be overwhelming for a person with dementia. A simpler approach may be more appropriate.

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Correct Answer is B

Explanation

Choice A rationale:

Upper abdominal pain is not a typical manifestation of diverticulitis. It is more commonly associated with conditions affecting the upper gastrointestinal tract.

Choice B rationale:

Rationale: Diverticulitis is characterized by inflammation or infection of diverticula (small pouches) in the colon. Manifestations of diverticulitis can include abdominal pain (usually left lower quadrant), fever, nausea, vomiting, and changes in bowel habits.

Abdominal distension may indicate worsening inflammation or complication of diverticulitis.

Choice C rationale: Clay-colored stools are more characteristic of liver or bile duct disorders, not diverticulitis.

Choice D rationale: Gastric reflux is not a common manifestation of diverticulitis. It is more related to gastroesophageal reflux disease (GERD) or other upper gastrointestinal issues.

A. "I feel guilty that my fellow soldiers died in combat and I survived." B. "I keep having flashbacks about when I was attacked by my neighbor." C. "I prefer to go through the recovery process independently." D. "I think my experience has affected my ability to trust others."

Correct Answer is B

Explanation

Choice A rationale:

Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.

Choice B rationale:

Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.

Choice C rationale:

The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.

Choice D rationale:

Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.

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A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?

Nursing Test Bank

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A nurse is providing teaching about home care to the family of a client who has dementia. Which of the following statements should the nurse make?