A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Encourage the family to join a support group.
Engage the family in informal conversation.
Provide the family with information about respite care.
Educate the family regarding the progression of dementia.
The Correct Answer is B
. Engage the family in informal conversation. The first step in caring for a client with dementia is to establish a relationship of trust and comfort with the client and their family. Engaging the family in informal conversation can help the nurse gain insight into the family's needs and concerns, as well as provide an opportunity to establish rapport. Encouraging the family to join a support group, providing information about respite care, and educating the family regarding the progression of dementia are important steps in caring for a client with dementia, but they should follow the initial step of engaging the family in informal conversation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice b. “I carry my baby with me as I move around the house.”
Choice A rationale:
Warming a baby’s bottle in the microwave is not recommended because it can create hot spots that might burn the baby’s mouth. This indicates a misunderstanding of safe bottle-warming practices.
Choice B rationale:
Carrying the baby while moving around the house promotes bonding and provides the baby with a sense of security. This indicates an understanding of the importance of physical closeness and attachment.
Choice C rationale:
Limiting the time grandparents cuddle the baby to prevent spoiling is a misconception. Babies cannot be spoiled by being held and cuddled; in fact, physical affection is crucial for their emotional development.
Choice D rationale:
Using baby talk when talking to a baby is actually beneficial for language development. It helps the baby learn the sounds and rhythms of speech, so this statement also indicates an understanding of effective communication with infants.
Correct Answer is C
Explanation
HIPAA (Health Insurance Portability and Accountability Act) is a federal law that mandates the privacy and security of a patient's medical records and personal health information. A newly licensed nurse must understand the HIPAA regulations to protect patient's confidentiality and avoid penalties for violating the law. HIPAA rules permit clients to access their medical records and receive copies of their medical information upon request. A client can request copies of medical records through a signed authorization form. HIPAA does not allow the sharing of a client's medical information with unauthorized personnel or third parties, including coworkers and supervisors. Therefore, it is essential to protect clients' medical information and keep computer passwords confidential.
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