Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

Provide companionship.

Provide activity which stimulates the cent

Maintain client’s familial routine

Remind client that it is time to go to bed.

Reduce environmental stimulation.

Answer and Explanation

Correct Answer : A,C,E

A.   Providing companionship can help reduce feelings of isolation and agitation that may be exacerbated by sundown syndrome. Presence and interaction with a supportive person can provide comfort, reassurance, and a sense of security, which may help manage anxiety and agitation during the late hours.
B.   Engaging in stimulating activities in the late afternoon or evening can sometimes worsen symptoms of sundown syndrome. Instead, activities should be calming and relaxing as excessive stimulation can
increase agitation and confusion. It’s better to plan stimulating activities earlier in the day.
C.   Maintaining a familiar routine helps provide structure and predictability, which can be comforting for individuals with dementia. Consistent routines can help reduce confusion and anxiety, especially during the times when sundown syndrome symptoms are most pronounced.
D.   While reminding the client about bedtime may seem like a good strategy, it can sometimes lead to frustration or increased agitation if the client is not ready for sleep or is confused. It is generally more effective to create a calming environment and use soothing routines rather than directly reminding the client of bedtime.
E.   Reducing environmental stimulation, such as minimizing noise, bright lights, and other distractions, can help create a calm and peaceful environment. This approach can help prevent overstimulation, which is known to exacerbate sundown syndrome symptoms.

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Correct Answer is ["E"]

Explanation

A. Adipose tissue is not classified as dense connective tissue. Adipose tissue, on the other hand, is a type of loose connective tissue that is primarily composed of adipocytes (fat cells) and has a relatively sparse extracellular matrix compared to dense connective tissues.
B. Adipose tissue is composed mainly of adipocytes (fat cells), which occupy most of the tissue’s volume. The extracellular matrix (ECM) in adipose tissue is relatively minimal compared to other types of connective tissue.
C. In adipocytes, most of the cell volume is occupied by a large lipid droplet rather than the nucleus. The nucleus is relatively small and located at the periphery of the cell, while the central portion of the cell is primarily filled with fat storage.
D. Mature adipocytes are not highly mitotic. Adipocytes have a limited ability to divide. Instead, the number of adipocytes can increase primarily through the differentiation of precursor cells (preadipocytes) into mature adipocytes, not through the division of existing adipocytes.
E. The primary function of adipose tissue is the storage of triglycerides (fats). Adipocytes store energy in the form of triglycerides, which can be mobilized when needed for energy. Additionally, adipose tissue plays roles in insulation, cushioning, and hormone production, but triglyceride storage is its main function.

A. Compensation B. Rationalization C. Regression D. Projection

Correct Answer is B

Explanation

A. Compensation involves offsetting perceived deficiencies by excelling in other areas. The patient claiming weight gain is due to fluid retention is not trying to make up for a perceived weakness or deficiency; instead, they are explaining their behavior in a way that deflects responsibility.
B. Rationalization is a defense mechanism where a person provides logical or reasonable-sounding explanations for behaviors or situations that are actually motivated by irrational or emotional factors. In this case, the patient who overeats is rationalizing their weight gain by attributing it to fluid retention rather than addressing the underlying issue of overeating. This allows them to avoid facing the real cause of their weight gain.
C. Regression involves reverting to earlier stages of development or behavior when faced with stress. For instance, an adult might act childishly when under pressure. The patient in this scenario is not behaving in a more immature or childlike manner but is rather giving an excuse for their behavior.
D. Projection involves attributing one's own undesirable thoughts or feelings to others. For example, someone who is untrustworthy might accuse others of being untrustworthy. The patient in this scenario is not attributing their own issues to others but is offering an excuse for their own behavior.

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Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

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Naxlex Comprehensive Predictor Exams

Select the correct statement regarding adipose tissue.

Correct Answer is ["E"]

Explanation

When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?

Correct Answer is B

Explanation

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