A nurse is assisting with reminiscence therapy for a group of older adult clients. Which of the following strategies should the nurse implement?

Encouraging thought-stopping to block undesirable thoughts

Making a unit calendar to promote orientation

Playing board games with other clients to enhance cognition

Discussing childhood memories during group therapy

Answer and Explanation

The Correct Answer is D

A.   Thought-stopping is a cognitive behavioral technique used to interrupt and replace negative or distressing thoughts. However, it is not directly related to reminiscence therapy. Reminiscence therapy focuses on stimulating memories and promoting positive reflections on past experiences rather than blocking thoughts.
B.   Creating a unit calendar can be a helpful strategy to promote orientation to time and events for older adults, especially those who may have memory impairments. While this is a valuable activity for maintaining orientation, it is not specifically reminiscence therapy. Reminiscence therapy involves recalling and discussing personal memories rather than focusing on current events.

C.   Playing board games can indeed enhance cognition by stimulating various cognitive functions such as problem-solving, memory, and social interaction. However, it is not considered reminiscence therapy. Reminiscence therapy involves specific guided discussions or activities that evoke memories from the past, which can promote emotional well-being and socialization through shared experiences.
D.   This is the most appropriate strategy for reminiscence therapy. Discussing childhood memories encourages older adults to recall and share past experiences, fostering a sense of identity, meaning, and connection. It can also enhance self-esteem and provide opportunities for social interaction within a therapeutic context.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Helping clients establish long-term goals can provide motivation and direction. However, while setting goals is important, it may not directly address immediate barriers to learning unless the goals are broken down into manageable steps that are relevant to the current learning session.
B. Teaching sessions should not be scheduled right before bedtime because older adults may be fatigued at the end of the day, which can impair their ability to concentrate and retain information. Fatigue can act as a barrier to effective learning.
C. Scheduling teaching sessions for a long duration could lead to cognitive overload and fatigue, which are significant barriers to learning.
D. This can help create a non-threatening learning environment and encourage open communication. This approach can reduce defensiveness and promote a collaborative atmosphere.

A. Buprenorphine B. Diazepam C. Varenicline D. Rimonabant

Correct Answer is B

Explanation

A. Buprenorphine is primarily used for the treatment of opioid dependence, not alcohol detoxification. It is a partial opioid agonist and can precipitate withdrawal symptoms in individuals dependent on opioids. Therefore, it is not appropriate for alcohol detoxification and would not typically be administered in this context.
B. Diazepam belongs to the benzodiazepine class of medications and is commonly used during alcohol detoxification. Benzodiazepines help manage symptoms of alcohol withdrawal, including anxiety, tremors, agitation, and seizures. They work by enhancing the effects of gamma-aminobutyric acid (GABA), which is an inhibitory neurotransmitter in the brain. Diazepam has a longer duration of action and is preferred in managing alcohol withdrawal due to its smoother pharmacokinetic profile compared to shorter-acting benzodiazepines.
C. Varenicline is a medication used for smoking cessation. It works by partially activating nicotine receptors in the brain, reducing the pleasurable effects of smoking and decreasing withdrawal symptoms. It is not indicated for alcohol detoxification and would not be used in this context.
D. Rimonabant is a cannabinoid receptor antagonist that was once used for weight loss but has been withdrawn from the market due to psychiatric side effects, including depression and anxiety. It is not indicated for alcohol detoxification and would not be administered in this context.

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A nurse is assisting with reminiscence therapy for a group of older adult clients. Which of the following strategies should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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