A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?

Assist the client with bathing and toileting.

Design a bulletin board to represent the current season.

Present evidence of objective reality to improve cognition.

Label the door to the client's room with name and number.

Answer and Explanation

The Correct Answer is A

a. Assist the client with bathing and toileting. This intervention addresses the client's immediate and essential needs. Ensuring basic hygiene and toileting are crucial for maintaining the client's health, dignity, and comfort. Assisting with activities of daily living (ADLs) is a priority for clients who are unable to perform these tasks independently.
b. Design a bulletin board to represent the current season. While this can help with orientation and provide a sense of time and place, it is not as critical as addressing the client's basic physical needs.
c. Present evidence of objective reality to improve cognition. Reality orientation can be beneficial, but it is not a priority intervention compared to meeting the client's immediate physical needs.
d. Label the door to the client's room with name and number. This helps with orientation and independence but is less critical than ensuring the client’s hygiene and toileting needs are met.

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Correct Answer is C

Explanation

a. Thorough explanations with details: This approach may overwhelm a client with a cognitive disorder due to complexity and length.
b. Stimulating words and phrases: Stimulating words and phrases can be confusing and may not be understood clearly by a client with cognitive impairment.
c. Short words and simple sentences: This is correct because it ensures clarity and facilitates understanding, which is essential when communicating with someone who has a cognitive disorder.
d. Pictures or gestures instead of words: While visual aids can be helpful, they should complement, not replace, verbal communication unless the client has severe communication difficulties.

A. Blood pressure 110/70 B. heart rate 86 C. Hypoactive bowel sounds D. Increased restlessness E. Negative Homan's sign

Correct Answer is ["D"]

Explanation

a. Blood pressure 110/70: This is within normal range for many individuals and is not immediately concerning in the post-operative context.
b. heart rate 86: This is a normal heart rate for most individuals and is not concerning post-operatively.
c. Hypoactive bowel sounds: Hypoactive bowel sounds are common post-operatively due to anesthesia and are not immediately concerning.
d. Increased restlessness Increased restlessness can be a sign of pain, anxiety, hypoxia, or other complications and should be addressed promptly.
e. Negative Homan's sign: A negative Homan’s sign indicates no apparent deep vein thrombosis and is a positive finding.

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A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following will the nurse use when communicating with a client who has a cognitive disorder?

Correct Answer is C

Explanation

The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?

Correct Answer is ["D"]

Explanation

A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic?

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The nurse understands that whether or not a client experiences crisis as a result of a stressful situation depends on the: (SELECT ALL THAT APPLY)

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