A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Frontotemporal lobar degeneration

Traumatic brain injury

HIV infection

Prion disease

Answer and Explanation

The Correct Answer is D

A. Frontotemporal lobar degeneration (FTLD), also known as frontotemporal dementia (FTD), is a type of dementia characterized by progressive degeneration of the frontal and temporal lobes of the brain. It is not typically associated with sleep and appetite changes.

B. TBI can cause changes in sleep patterns and concentration difficulties but it is not typically associated with lack of appetite as a primary symptom.

C. While it can lead to neurocognitive disorders, the symptoms might not be as prominent as in other forms of dementia, especially in the early stages.

D. Prion diseases are rare neurodegenerative disorders caused by abnormal protein folding in the brain. These diseases can manifest with a variety of cognitive and neurological symptoms, but lack of sleep, lack of appetite, and difficulties with concentration are not typically prominent features of prion diseases.

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Correct Answer is B

Explanation

B. Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.

A. Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.

C. Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.

D. Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.

A. State, "Only doctors are allowed to write prescriptions for medications." B. Ask, "Why are you asking for another prescription when you already have one at home?" C. Inform the client that this will be discussed with their provider. D. Recommend alternative options, such as attending an additional group therapy session.

Correct Answer is C

Explanation

C. It acknowledges the client's request and communicates that their request will be addressed in collaboration with their healthcare provider. This response respects the client's autonomy while also ensuring that medication decisions are made within the context of a comprehensive healthcare plan overseen by a qualified provider.

A. This statement may come across as dismissive or confrontational to the client. It does not effectively address the client's request or provide guidance on how to proceed.

B. This question may imply suspicion or judgment about the client's motives for seeking a new prescription. It does not foster open communication or collaboration between the nurse and the client and may create a barrier to effective communication.

D. This option is not the appropriate response to a request for a new medication prescription. This option does not address the client's specific request and may not be relevant to their current healthcare needs.

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A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

Correct Answer is B

Explanation

A nurse is caring for a client who is requesting a prescription for a new medication. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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