A nurse is assisting with the care of a client who has dementia. Which of the following actions should the nurse take?

Repeat orientation questions until the client gives a correct response.

Make a personal introduction to the client at each interaction.

Give the client a list of foods to choose from for dinner.

Provide the client with a dark environment for sleeping.

Answer and Explanation

The Correct Answer is B

A.   It is not effective to repeatedly ask orientation questions to a client with dementia. Dementia causes progressive memory loss and cognitive decline, and the client may not be able to provide the correct response even with repeated questioning. This approach can lead to frustration and agitation for the client.
B.   Introducing oneself at each interaction is a good practice because individuals with dementia may have difficulty remembering people or recognizing familiar faces. It helps establish rapport and reduces confusion or anxiety that may arise from not recognizing caregivers or staff.
C.   Providing choices can help empower the client and maintain some level of independence in decision- making. However, it's important to keep the choices limited and clear, as too many options can overwhelm and confuse a person with dementia. Additionally, offering familiar and preferred foods can enhance the client's comfort and enjoyment of meals.
D.   Providing a dark environment for sleeping may not be appropriate for all clients with dementia. Some individuals may become disoriented or agitated in complete darkness. It's generally recommended to provide a quiet and calm environment with subdued lighting during nighttime hours to support restful sleep.

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

Divide the total required dose by the dose available per tablet. 375 mg is the required dose and each tablet contains 250 mg. So, 375 mg divided by 250 mg equals 1.5.

Therefore, the nurse should administer 1.5 tablets of disulfiram.

A. "Tell me what your relationship with your partner was like." B. "I remember how depressed I was after my friend died." C. "You should start participating in your usual activities." D. "Everyone feels depressed during the grieving process."

Correct Answer is A

Explanation

A. This response encourages the client to express their feelings and memories about their relationship with their deceased partner. It allows the client to talk about their emotions, reminisce about positive memories, and potentially share any unresolved issues or feelings of loss. This can be therapeutic as it provides an opportunity for the client to process their grief through storytelling and expression.
B. This response shifts the focus from the client's experience to the nurse's own experience. It can detract from the client's need to talk about their own feelings and may not be perceived as empathetic. While sharing personal experiences can sometimes create rapport, in this context, it may not be the most therapeutic approach as it might minimize the client's unique experience and emotions.
C. This response assumes a directive approach, suggesting what the client "should" do. While encouraging a return to routine activities can be beneficial in some cases, it may not be appropriate immediately after a significant loss. Grieving is a personal process, and the client may not be ready to engage in usual activities right away. It's important to assess the client's readiness and provide support tailored to their current emotional state.
D. This response minimizes the client's feelings by suggesting that their experience is universal. While it's true that many people experience sadness and grief after a loss, each individual's response is unique. This statement may invalidate the client's emotions and fail to acknowledge the depth of their distress. It's important to validate the client's feelings and provide reassurance that their emotions are normal in the context of grief.

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A nurse is assisting with the care of a client who has dementia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer disulfiram 375 mg PO once daily. Available is disulfiram 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.5"]

Explanation

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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