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A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?

Leave the client alone while ensuring safety, to allow the client to work through behaviors and feelings during the transition period.

Provide opportunities for education and continually evaluate the client's preferences and goals for care.

Limit the members of the team who can help the client while transitioning, to avoid adding confusion or uneasiness.

Inform the client about the need to move prior to the actual event.

Answer and Explanation

The Correct Answer is B

B. Provide opportunities for education and continually evaluate the client's preferences and goals for care:
This is the most effective intervention. Providing education and involving the client (to the extent possible) in decision-making helps reduce anxiety and build trust. Even though individuals with Alzheimer's disease may have limited memory and cognitive abilities, ongoing communication about the transition and individualized care plans can help ease the process. Additionally, continuously evaluating the client's preferences and goals ensures that the care plan remains person-centered and aligns with their needs, helping to minimize relocation stress.

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Correct Answer is D

Explanation

A) "Damage occurs from the penetrating object shattering the skull and causing an infection." While penetrating traumatic brain injuries can lead to skull fractures and subsequent infections, the primary mechanism of brain damage in these injuries is related to the direct impact of the penetrating object on brain tissue rather than the shattering of the skull.

B) "Damage to the brain is related to coup and contrecoup injuries." Coup and contrecoup injuries occur when the brain impacts the skull's interior surface due to rapid deceleration or acceleration, commonly seen in closed head injuries such as concussions. Penetrating traumatic brain injuries involve direct penetration of foreign objects into the brain tissue, and coup-contrecoup injuries are not typically associated with these types of injuries.

C) "Damage occurs from the penetrating injury causing leakage of cerebrospinal fluid." While penetrating injuries may result in cerebrospinal fluid leakage, this is not the primary mechanism through which they cause brain damage. Leakage of cerebrospinal fluid is more commonly associated with certain types of head trauma, such as skull fractures, rather than solely penetrating injuries.

D) "Damage to the brain is related to the size, route, and rate of speed of the object entering the brain." This statement is correct. The extent of brain damage in penetrating traumatic brain injuries depends on various factors, including the size, shape, and velocity of the penetrating object, as well as the route it takes through the brain tissue. Larger, faster-moving objects tend to cause more extensive damage, whereas smaller objects or those with slower velocities may cause more localized damage. Therefore, understanding these factors is crucial in assessing and managing patients with penetrating traumatic brain injuries.

A. Lisinopril B. Citalopram C. Donepezil D. Amlodipine E. Olanzapine

Correct Answer is ["B","C","E"]

Explanation

Answer: B, C, E

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A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is assessing a client who is recovering from subarachnoid hemorrhage following a fall. Which of the following medications should the nurse understand is a potential reason for the fall? (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

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