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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Analgesics: Analgesics are medications for pain relief and are not typically used as a treatment for ADHD.
B. Promoting less sleep: Adequate sleep is important for children with ADHD; promoting less sleep is not a therapeutic intervention.
C. Behavior Therapy: Behavior therapy, such as behavioral interventions and management strategies, is a cornerstone of treatment for ADHD.
D. Group Therapy: Group therapy can help children with ADHD learn social skills and manage their behavior in a group setting.
E. Family Therapy: Involving the family in therapy helps support the child's treatment, improve communication, and address family dynamics that may contribute to ADHD symptoms.
Correct Answer is D
Explanation
A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.
B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.
C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.
D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.
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