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 ["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.

A. Borderline personality disorder B. Paranoid personality disorder C. Dependent personality disorder D. Antisocial personality disorder

Correct Answer is C

Explanation

A. Borderline personality disorder: This disorder falls under Cluster B, which is characterized by dramatic, emotional, or erratic behaviours.

B. Paranoid personality disorder: This disorder is part of Cluster A, which includes odd or eccentric behaviours.

C. Dependent personality disorder: This disorder is part of Cluster C, which includes anxious and fearful behaviours.

D. Antisocial personality disorder: This disorder also falls under Cluster B, known for dramatic and erratic behaviours.

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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

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