D.B. is admitted to a long-term care facility. He has impaired memory related to effects of dementia. An appropriate nursing intervention for him is to:
Let him know what behavior is socially appropriate
Maintain familiar routines of sleep, meals, drug administration, and activities.
Promote orientation at every encounter with the patient by asking the day, time, and place
Assist him with all self-care to maintain self-esteem
The Correct Answer is B
A. Let him know what behavior is socially appropriate. While it is important to gently redirect inappropriate behavior, individuals with dementia may not retain this information due to impaired memory and cognitive decline. This approach is not as effective as maintaining familiar routines.
B. Maintain familiar routines of sleep, meals, drug administration, and activities. Consistent routines help reduce confusion and anxiety in individuals with dementia. Predictable schedules reinforce a sense of security, making it easier for the patient to remember daily activities and participate in self-care. Disruptions to routine can lead to increased agitation and disorientation.
C. Promote orientation at every encounter with the patient by asking the day, time, and place. While gentle reorientation can be helpful, repeatedly questioning the patient about time and place may lead to frustration, agitation, or embarrassment. A better approach is to use environmental cues (e.g., clocks, calendars, labeled rooms) and offer reassurance.
D. Assist him with all self-care to maintain self-esteem. Encouraging independence in self-care to the extent possible is crucial for maintaining dignity and self-esteem. Providing total assistance when unnecessary can lead to learned helplessness and increased dependence. Instead, the nurse should offer support only when needed while encouraging the patient to perform tasks independently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Calculate the total infusion time in minutes:
Total infusion time (minutes) = Infusion time (hours) × 60 minutes/hour
= 2 hours × 60 minutes/hour
= 120 minutes
Calculate the flow rate in drops per minute:
Flow rate (gtts/minute) = (Volume (mL) × Drop factor (gtts/mL)) / Total infusion time (minutes)
= (250 mL × 15 gtts/mL) / 120 minutes
= 31.25 gtts/minute
Round to the nearest whole number:
31.25 gtts/minute is 31 gtts/minute
Correct Answer is ["2"]
Explanation
Number of tablets = Desired dose (mg) / Available dose (mg/tablet)
= 650 mg / 325 mg/tablet
= 2 tablets
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