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 D

Explanation

A. Offering legal advice and assistance in filing a police report: While a SANE nurse may provide information about the legal process, their primary role is not to offer legal advice.

B. Providing emotional support and counseling to the victim: Emotional support is crucial, but the primary role of a SANE nurse involves the collection of forensic evidence and conducting a thorough medical examination.

C. Referring the victim to community support services for ongoing care and follow-up: Referrals to support services are important, but they are not the primary role of a SANE nurse during the initial intervention.

D. Collecting forensic evidence and conducting a thorough medical examination: This is the correct answer. SANE nurses are specially trained to gather evidence in a sensitive and thorough manner while ensuring the victim's medical needs are addressed.

A. Administer diazepam. B. Obtain a medical history. C. Start intravenous fluids. D. Raise 3 of the 4 side rails of the bed.

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.

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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

The Nurse Educator in the Emergency Department is explaining to a group of student nurses, "What the primary role of a Sexual Assault Nurse Examiner (SANE) is when intervening with a victim of violence?" Student nurses reply that the primary role of the SANE nurse is:

Correct Answer is D

Explanation

The nurse is caring for an older adult client who is experiencing delirium. Which of the following should be the priority action by the nurse?

Correct Answer is B

Explanation

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