Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?

Limit conversations and redirect to complete ADLS

Use short, simple words and phrases

Confront patient's delusions and provide reality orientation

Talk with the patient about abstract ideas

Answer and Explanation

The Correct Answer is B

A. Limit conversations and redirect to complete ADLs may be too restrictive and does not support therapeutic communication. While redirection can be helpful, limiting conversations may increase confusion and isolation in patients with Alzheimer's disease.
B. Use short, simple words and phrases is the most effective communication strategy. Patients with Alzheimer's disease often have difficulty processing complex information, so clear, simple, and concise language helps them better understand and reduces frustration.
C. Confront patient’s delusions and provide reality orientation is not recommended. Confronting delusions can lead to increased agitation and distress. A more supportive approach, such as using validation therapy or gentle redirection, is typically more therapeutic.
D. Talk with the patient about abstract ideas is not appropriate. Individuals with Alzheimer's often have difficulty understanding abstract concepts. Concrete, straightforward communication is more effective for maintaining engagement and reducing confusion.

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Correct Answer is D

Explanation

A. Feeling that she deserved the physical abuse is not a common reason for denial in elderly abuse cases. While some victims may feel guilt or shame, the more common reason for denial is a fear of the consequences of reporting abuse, such as separation from family or loss of support.
B. Strong belief that nothing could be done to help her could contribute to feelings of helplessness, but it is not the most common reason for denial. Victims of abuse often deny the situation because they fear the consequences of revealing the truth, especially if they feel that no one can help them or that they have no other support systems.
C. Lack of trust that the situation could ever be changed is a possibility, but again, the more pressing concern for elderly victims of abuse is often the fear of being separated from their family or losing their primary source of care and support.
D. Fear of the possibility of being removed from her family is the most likely explanation for the patient's denial. Many elderly individuals who are victims of abuse deny it out of fear that reporting the abuse will lead to them being taken out of their home and placed in a facility, thus separating them from their family members. This fear can be a significant barrier to seeking help or admitting to abuse.

A. Workplace bullying B. Workplace violence C. Ageism D. Normal and expected of the new grad

Correct Answer is A

Explanation

A. Workplace bullying includes repeated, unreasonable actions directed toward an employee intended to intimidate, degrade, or undermine. In this scenario, the charge nurse dismisses the new grad’s valid concerns and gives a difficult assignment without support, contributing to an unsafe and unsupportive environment — classic signs of bullying.
B. Workplace violence typically refers to physical acts of aggression or threats. This situation, while harmful, does not involve violence.
C. Ageism refers to discrimination based on a person’s age, which is not a factor in this scenario.
D. While new grads are expected to learn and grow into their roles, being overwhelmed with unsafe assignments and receiving no support is not normal or acceptable.

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Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?

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Naxlex Comprehensive Predictor Exams

When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse. The patient denied that she had been abused. Her denial is most likely based on her.

Correct Answer is D

Explanation

Correct Answer is A

Explanation

When working with rape victims, what is the focus of initial care?

Which of the following interventions should be incorporated into the care of patient diagnosed with Alzheimer's disease?

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Progressive brain disorder that causes uncontrolled movements, emotional problems, and cognitive dysfunction.

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