A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
"I will notify law enforcement within 2 hours if he cannot be found."
"I will give his most recent photo to the police."
"I will place a sliding bolt lock just above the doorknob."
"I will ensure the bedroom is dark while he is sleeping at night."
The Correct Answer is C
Choice A reason: Notifying law enforcement within 2 hours if the person cannot be found is important, but immediate action is usually recommended in such cases. The sooner the authorities are alerted, the better the chances of locating the individual safely.
Choice B reason: Giving the most recent photo to the police is a proactive step in case the person goes missing. It can help law enforcement quickly disseminate the information and aid in the search. However, this is a reactive measure rather than a preventive one.
Choice C reason: Placing a sliding bolt lock just above the doorknob can prevent the individual from wandering, which is a common and dangerous issue in people with advanced Alzheimer's disease. This measure helps ensure the person's safety by preventing unsupervised exits from the home.
Choice D reason: Ensuring the bedroom is dark while the person is sleeping may not be advisable. Adequate night lighting is important for preventing falls if the person needs to get up during the night. A completely dark room can increase the risk of injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Avoiding television when hearing voices is not a recognized strategy for relapse prevention in schizophrenia. While reducing stimuli during episodes of auditory hallucinations can be helpful, it is not a substitute for professional treatment and medication adherence, which are key to relapse prevention.
Choice B reason: Informing a counselor about trouble sleeping is important because sleep disturbances can be an early indicator of a potential relapse. Maintaining open communication with healthcare providers about changes in sleep patterns allows for timely interventions and adjustments in treatment to prevent a relapse.
Choice C reason: Listening to the voices is not advisable as it may reinforce the hallucinations. Instead, clients are encouraged to engage in reality-based activities and to discuss their experiences with their healthcare providers to manage symptoms effectively.
Choice D reason: Isolation can exacerbate symptoms of schizophrenia and increase the risk of relapse. It is important for individuals to maintain social contacts and support systems as part of a comprehensive relapse prevention strategy.
Correct Answer is A
Explanation
Choice A reason: Autonomy is the principle that addresses the patient's right to make their own decisions regarding their health care, based on their own values and preferences. When the nurse supports the client's refusal of medications, they are respecting the client's autonomy. This principle is fundamental in healthcare ethics, emphasizing the belief that patients are capable of making informed decisions about their own treatment.
Choice B reason: Beneficence involves actions that promote the well-being of others. In the context of healthcare, this principle often refers to the healthcare provider's duty to act in the patient's best interest. While beneficence is important, it must be balanced with autonomy, especially when the patient's wishes are known and legally sound.
Choice C reason: Veracity refers to the obligation to tell the truth and not deceive others. In the healthcare setting, this means providing accurate information to patients about their condition and treatment options. While veracity is crucial, it does not directly relate to the support of a patient's decision to refuse treatment.
Choice D reason: Justice in healthcare is about fairness in the distribution of resources and respect for people's rights. It involves ensuring that all individuals have equal access to treatment and care. The principle of justice does not specifically address the issue of supporting a patient's decision to refuse treatment.
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