A student nurse is providing care to a client diagnosed with Alzheimer's disease. Which of the following should be the appropriate action by the student nurse when caring for this client?

Rotate assignment of daily caregivers.

Limit time for the client to perform activities.

Provide guidance for tasks one step at a time.

Provide an activity schedule that changes from day to day.

Answer and Explanation

The Correct Answer is C

A. Rotate assignment of daily caregivers: Consistency in caregivers helps minimize confusion and anxiety for Alzheimer’s patients.

B. Limit time for the client to perform activities: Allowing more time can reduce frustration and improve the chance of successful task completion.

C. Provide guidance for tasks one step at a time: Breaking tasks into simple, manageable steps helps Alzheimer’s patients complete them more easily and reduces confusion.

D. Provide an activity schedule that changes from day to day: Consistency in routine is important for patients with Alzheimer’s to reduce confusion and anxiety

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Correct Answer is B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. Monitoring the client's food intake and ensuring a balanced diet B. Allowing unrestricted access to food C. Encouraging the client to engage in regular physical activity D. Ignore signs of distress or emotional triggers E. Minimizing the importance of regular therapy sessions

Correct Answer is ["A","C"]

Explanation

A. Monitoring the client's food intake and ensuring a balanced diet: It’s important to monitor food intake to prevent episodes of binge eating and ensure nutritional needs are met. A balanced diet can help stabilize eating patterns and reduce the risk of physical health complications associated with binge eating disorder.

B. Allowing unrestricted access to food: This is not advisable as it may lead to uncontrolled binge eating episodes, exacerbating the disorder.

C. Encouraging the client to engage in regular physical activity: Regular physical activity can help manage weight, improve mental health, and reduce the urge to binge eat. It should be encouraged in a safe and supportive manner.

D. Ignore signs of distress or emotional triggers: Ignoring signs of distress can worsen the disorder. Emotional triggers often lead to binge eating episodes, so addressing these issues is crucial.

E. Minimizing the importance of regular therapy sessions: Therapy is essential for treating the underlying psychological issues associated with binge eating disorder. Minimizing its importance can hinder recovery.

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A student nurse is providing care to a client diagnosed with Alzheimer's disease. Which of the following should be the appropriate action by the student nurse when caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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