A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?
Complete the bath even if the client is in distress.
Allow the client to select the temperature of the bath water.
Give detailed instructions for the client to follow.
Use distractions when bathing the client.
The Correct Answer is B
When bathing a client who has dementia, it is important to allow them to have some control over their environment. Allowing the client to select the temperature of the bath water can help them feel more comfortable and at ease.
Option a is incorrect because completing the bath even if the client is in distress can cause further distress and agitation.
Option c is incorrect because giving detailed instructions can be overwhelming for a client with dementia.
Option d is incorrect because using distractions can be confusing and disorienting for a client with dementia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
When a hospice nurse is visiting a client who has terminal cancer, the statement "I miss him so much already" by the client's partner should be recognized as an indication of anticipatory grief. Anticipatory grief is the grief that occurs before a loss and can include feelings of sadness, longing, and missing the person who is dying.
Option b is incorrect because anger is a common emotion during the grieving process but does not necessarily indicate anticipatory grief.
Option c is incorrect because planning for the future does not necessarily indicate anticipatory grief.
Option d is incorrect because not discussing funeral arrangements does not necessarily indicate anticipatory grief.
Correct Answer is D
Explanation
When caring for a client who has a chest tube following thoracic surgery, the nurse can delegate the task of assisting the client to select food choices from the menu to an assistive personnel. This task is within the scope of practice of an assistive personnel and does not require the specialized knowledge or judgment of a nurse.
Option a is incorrect because monitoring the characteristics of the client's chest tube drainage requires specialized knowledge and should not be delegated.
Option b is incorrect because evaluating the client's response to pain medication requires specialized knowledge and should not be delegated.
Option c is incorrect because teaching deep breathing and coughing to the client requires specialized knowledge and should not be delegated.
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