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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Denial is a common defense mechanism in patients with Alzheimer's disease. Individuals may refuse to accept the reality of their cognitive decline, which can lead them to deny their condition or deny symptoms, such as memory loss.
B. Confabulation refers to the unintentional creation of false memories to fill in memory gaps. It is a defense mechanism often seen in Alzheimer's patients as they attempt to make sense of their experiences or answer questions when they do not remember the correct information.
C. Perseveration is the repetition of a word, phrase, or action. Patients with Alzheimer's may exhibit perseveration when they become fixated on a thought or action and repeat it persistently, which is often a coping mechanism for confusion or disorientation.
D. Rationalization is a defense mechanism where individuals justify or explain their behaviors in a seemingly logical way to avoid feelings of guilt or discomfort. While it can be seen in many types of psychological distress, rationalization is not typically a behavior associated with Alzheimer's disease. Instead, Alzheimer's patients are more likely to demonstrate denial, confabulation, or perseveration, as they struggle with cognitive decline and memory loss.
Correct Answer is D
Explanation
A. Disabled family coping related to uneven distribution of power within a relationship is a potential diagnosis, but it doesn't address the immediate concern of the victim's physical safety. The primary issue here is the risk of further injury due to abuse.
B. Social Isolation, related to lack of community support system could be a contributing factor in some cases of intimate partner violence, but the primary concern in this case is the physical harm the victim is facing, rather than isolation.
C. Deficient knowledge, related to resources for escape from the abusive relationship is also relevant, as the victim expresses confusion about leaving. However, the more immediate issue here is the risk of injury due to ongoing abuse.
D. Risk for injury, related to partner's physical abuse when intoxicated is the most appropriate diagnosis because the victim is at immediate risk of harm from the partner’s behavior, especially when intoxicated. This is the most urgent and accurate concern.
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