A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

The client will exercise for 30 min each day.

The client provides a list of exercises that they are interested in.

The client will exercise daily for the next 2 weeks.

The client will share their exercise log with an identified support person.

Answer and Explanation

The Correct Answer is D

D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.

A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.

B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.

C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.

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Correct Answer is B

Explanation

B In Alzheimer's disease, cortical thinning typically begins in the temporal and parietal lobes of the brain, areas associated with memory, language, and higher cognitive functions. As the disease progresses, cortical thinning may extend to other regions of the brain, contributing to the worsening cognitive decline seen in affected individuals.

A. HIV-associated neurocognitive disorders (HAND) can result in various structural and functional changes in the brain, including cortical atrophy, but cortical thinning is not a specific hallmark of HIV infection-related dementia.

C. Prion diseases can lead to spongiform changes and neuronal loss in the brain, but cortical thinning is not typically described as a characteristic feature.

D. Chronic substance abuse, particularly alcohol and certain drugs, can lead to structural and functional changes in the brain, including cortical atrophy. However, cortical thinning is not specific to substance use disorder-related dementia and can occur in various other neurological conditions as well.

A. Hallucinations and delusions B. Nausea and vomiting C. Seizures and tremors D. Uncontrolled movements around the mouth

Correct Answer is D

Explanation

D. Tardive dyskinesia (TD) is a side effect associated with long-term use of antipsychotic medications, particularly first-generation or typical antipsychotics. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and sometimes extremities.

A. These are symptoms of psychotic disorders such as schizophrenia and are often the target symptoms for which antipsychotic medications are prescribed. However, tardive dyskinesia is a distinct adverse effect of antipsychotic use

B. Nausea and vomiting are common side effects of many medications, including antipsychotics, particularly during the initial stages of treatment. However, they are not typically associated with tardive dyskinesia.

C. Seizures and tremors are potential adverse effects of some antipsychotic medications, particularly atypical antipsychotics. However, they are not characteristic of tardive dyskinesia

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A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?

Correct Answer is B

Explanation

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti- psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

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