A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

"I just don't remember what I did this morning."

"This morning, this morning, this morning..."

"It was good. The Queen of England visited me there."

"Snip, snap. Take a nap."

Answer and Explanation

The Correct Answer is C

A. "I just don't remember what I did this morning." This statement reflects an inability to recall the events of the morning, which is a common symptom in Alzheimer's disease but does not constitute confabulation. It simply indicates memory loss.

B. "This morning, this morning, this morning..." Repetition of words or phrases can indicate a language or communication issue often seen in Alzheimer's disease but is not an example of confabulation. It may reflect confusion or perseverance.

C. "It was good. The Queen of England visited me there." Confabulation involves the creation of false memories or statements to fill in gaps in memory. The client's statement about the Queen of England visiting is a fabricated or distorted memory and is an example of confabulation. This choice is correct.

D. "Snip, snap. Take a nap." This phrase is nonsensical and may indicate disorganized thinking or speech, which can occur in Alzheimer's disease, but it is not an example of confabulation. It does not fill a memory gap with a fabricated story. Therefore, this choice is incorrect.

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Correct Answer is D

Explanation

A. Financial exploitation: Financial exploitation involves the illegal or improper use of an elder's funds, property, or assets. It does not involve the direct infliction of physical or psychological harm .

B. Emotional abuse: Emotional abuse involves inflicting psychological harm through verbal or non-verbal acts, such as intimidation, humiliation, or isolation. It directly impacts the elder’s emotional and mental well-being.

C. Neglect: Neglect is the failure to provide necessary care or assistance, leading to harm or distress. It may not involve active infliction of harm but results in harm due to omission of care.

D. Physical abuse: Physical abuse involves the intentional infliction of bodily harm through actions such as hitting, shaking, or restraining. It directly results in physical injury and can also lead to psychological harm. This choice is correct

A. Use physical restraints during severe outbursts to ensure safety. B. Assign daily chores that are challenging to encourage discipline. C. Encourage solitary play to reduce social stressors. D. Put into practice consistent consequences for rule-breaking behavior.

Correct Answer is D

Explanation

. Use physical restraints during severe outbursts to ensure safety. Physical restraints are not appropriate for managing behavioural issues in children with ODD. They can escalate the situation, cause physical harm, and damage the trust between the child and caregivers.

B. Assign daily chores that are challenging to encourage discipline. While chores can teach responsibility, assigning challenging tasks is not appropriate for managing ODD and could lead to frustration and further defiance.

C. Encourage solitary play to reduce social stressors. Solitary play might reduce social stress but does not address the underlying behavioural issues of ODD. Social skills and interactions need to be improved rather than avoided.

D. Put into practice consistent consequences for rule-breaking behaviour. Consistent consequences help the child understand the link between behaviour and outcomes, which is crucial for managing ODD. It provides structure and clear expectations, which are essential for children with behavioral issues.

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A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that which of the following types of elder abuse involves the intentional infliction of physical and psychological harm on an older adult?

Correct Answer is D

Explanation

A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Correct Answer is D

Explanation

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