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

Answer and Explanation

The Correct Answer is A

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. 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.

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Correct Answer is A

Explanation

Clients in the manic phase often exhibit inflated self-esteem, a sense of superiority, and grandiose thinking. They may have unrealistic beliefs about their abilities, accomplishments, or importance.

Hypersomnia, or excessive sleepiness, is not typically associated with the manic phase of bipolar disorder. Instead, individuals in the manic phase often experience a decreased need for sleep and may go for long periods with little or no sleep.

Blunted affect refers to a lack of emotional expression or reduced intensity of emotional responses. It is more commonly associated with depressive episodes of bipolar disorder rather than the manic phase.

Slurred speech is not a typical finding in the manic phase of bipolar disorder. However, individuals in the manic phase may exhibit rapid or pressured speech, talking excessively, rapidly switching topics, or having difficulty keeping up with their own thoughts.

A. Family medical history B. Medications taken prior to admission C. Physical assessment findings D. Medical health insurance claims

Correct Answer is C

Explanation

c. Physical assessment findings

Physical assessment findings are important to include in a referral for a physical therapist because they provide information about the client's current physical condition, including range of motion, strength, and any areas of pain or discomfort.

This information is essential for the physical therapist to develop an appropriate treatment plan for the client. Family medical history and medical health insurance claims may be important for overall client care, but are not directly relevant to a referral for a physical therapist.

Medications taken prior to admission may be relevant if they aﬀect the client's physical abilities or pain level, but again, physical assessment findings are more directly related to the referral for a physical therapist.

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A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is in the manic phase of bipolar disorder. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include?

Correct Answer is C

Explanation

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