A nurse is caring for a client who has dementia.
Which of the following findings should the nurse expect?
Memory loss that disrupts ADLs
Catatonia
Illusions
Pressured speech
The Correct Answer is A
a. Memory loss that disrupts ADLs
Explanation: Dementia is a condition characterized by a decline in cognitive function that affects a person's ability to perform activities of daily living (ADLs). Memory loss is a common symptom of dementia, particularly in the early stages. The memory loss can disrupt a person's ability to carry out tasks they were previously able to do independently, such as dressing, bathing, and eating. Therefore, option a is the correct answer.
Option b, catatonia, is a condition characterized by a lack of movement or activity, which is not typically associated with dementia.
Option c, illusions, involve a misinterpretation of sensory information and may occur in some forms of dementia but are not a defining feature.
Option d, pressured speech, is a symptom commonly associated with mania or bipolar disorder, but is not typically seen in dementia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Blaming the assistive personnel without additional information or evidence may not be appropriate and should be investigated further.
Choice B Reason:
Mentioning that an incident report has been completed and sent to risk management is important for institutional record-keeping and follow-up but does not provide details about the incident itself.
Choice C Reason:
"Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom'." In the documentation of a client fall, it is important to include the client's own account of the incident, as this can provide valuable information about the circumstances surrounding the fall. Including direct quotes or statements from the client helps to accurately capture their perspective and can be useful for assessing the root causes of the fall and developing appropriate interventions to prevent future falls.
Choice D Reason:
Documenting that the client does not appear to have any injuries is relevant but does not provide information about the circumstances of the fall, which is important for a comprehensive understanding of the event.
Correct Answer is C
Explanation
Choice A Reason:
A. Irregular menses is incorrect. Oral contraceptives are often prescribed to regulate menstrual cycles and can be a suitable option for clients with irregular menses.
Choice B Reason:
Vaginal yeast infection is incorrect. Vaginal yeast infections do not generally contraindicate the use of oral contraceptives.
Choice C Reason:
Hypertension (high blood pressure) is a contraindication for the use of oral contraceptives. Women with hypertension are at an increased risk of cardiovascular complications when taking hormonal contraceptives. It is important to assess and manage blood pressure before considering the use of oral contraceptives. If a client has hypertension, alternative methods of contraception should be discussed with the healthcare provider.
Choice D Reason:
History of ectopic pregnancy is incorrect. A history of ectopic pregnancy may not be a contraindication for oral contraceptives, but it is essential for the healthcare provider to assess the client's individual medical history and discuss the risks and benefits.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today