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 B
Explanation
The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.
The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.
Correct Answer is B
Explanation
Choice A Reason:
A. Changing the appliance on a new colostomy requires specialized knowledge of ostomy care and assessment, including assessing stoma health and proper technique.
Choice B Reason:
This is an appropriate task to delegate to an AP. APs are trained to perform basic tasks like catheter care under the supervision of a nurse.
Choice C Reason
Demonstrating how to use an incentive spirometer involves patient education and assessment of the patient's ability to perform the procedure correctly, which requires clinical judgment and teaching skills and should not be delegated to an AP.
Choice D Reason:
This task involves assessing the wound, which requires clinical judgment and should be done by a nurse, not an AP.
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