A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care?
Encourage the client to talk about current events.
Give directions using simple phrases.
Orient the client to time and place twice per day.
Rotate assistive personnel to help the client with ADLs.
The Correct Answer is B
A. Encouraging the client to talk about current events may not be effective, as individuals with Alzheimer's disease may have difficulty following complex conversations or remembering recent events.
B. Giving directions using simple phrases is essential for effective communication with individuals who have Alzheimer's disease. Using clear, concise language helps reduce confusion and frustration and improves the client's ability to understand and follow instructions.
C. Orienting the client to time and place twice per day can be helpful for some individuals with Alzheimer's disease, but the frequency and method of orientation may vary depending on the client's specific needs and preferences. It may not be necessary to orient the client twice per day in all cases.
D. While it's important to provide consistent care to clients with Alzheimer's disease, rotating assistive personnel frequently may lead to confusion and distress for the client. Consistency and familiarity with caregivers can help establish trust and improve the client's sense of security.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing a tour of the perioperative area prior to surgery helps familiarize the adolescent with the environment, reducing anxiety and promoting a sense of control over the situation.
B. Explaining that anesthesia is a special type of sleep is oversimplifying and may not provide the adolescent with a clear understanding of the procedure. It's important to provide accurate information at a developmentally appropriate level.
C. Waiting until after surgery to explain the importance of coughing and deep breathing misses an opportunity for preoperative education. Teaching about postoperative care beforehand allows the adolescent to understand and participate in their own recovery process.
D. Keeping medical equipment out of the client's sight may reduce anxiety, but it does not address the adolescent's need for preparation and education about the surgical experience.
Correct Answer is B
Explanation
- A: The formula infusion rate being too slow typically does not cause diarrhea; instead, it could lead to inadequate nutritional intake.
- B: Administering formula that is too cold can cause diarrhea because the cold temperature can stimulate gastrointestinal motility, leading to increased bowel movements.
- C: A partially obstructed feeding tube is more likely to cause reduced or stopped flow of the formula, potentially leading to inadequate nutrition, rather than diarrhea.
- D: Delayed gastric emptying would typically cause symptoms such as nausea and vomiting, not diarrhea. Diarrhea is more likely when substances pass too quickly through the digestive system.
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