A nurse is providing discharge teaching to the family of a client who has Alzheimer's disease. Which of the following instructions should the nurse include in the teaching?
Keep a monthly calendar in the client's kitchen.
Provide distraction by keeping the television on.
Install a nightlight in the client's bedroom
Place a deadbolt lock on the client's bedroom door.
The Correct Answer is C
A. Keep a monthly calendar in the client's kitchen: A calendar showing a full month may be difficult for a client with Alzheimer's disease to process due to impaired memory and orientation. Simpler visual aids or daily reminders are more effective in supporting cognitive function.
B. Provide distraction by keeping the television on: Leaving the television on continuously can overstimulate the client and contribute to confusion or agitation. Clients with Alzheimer's often benefit more from calm, structured environments than from constant auditory input.
C. Install a nightlight in the client's bedroom: Installing a nightlight helps maintain orientation and reduce nighttime confusion. It also lowers the risk of falls by making it easier for the client to navigate their environment if they wake during the night.
D. Place a deadbolt lock on the client's bedroom door: Locking the client in their bedroom poses serious safety concerns, especially in emergencies like a fire. It may also increase anxiety or fear. Safer wandering prevention measures include door alarms or monitoring systems.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Providing clients with information about the benefits of exercise: This is an example of primary prevention, aimed at promoting general health and preventing illness before it occurs, not managing an existing condition like HIV.
B. Using an electronic messaging system to remind clients when to take medications: This represents tertiary prevention, which focuses on managing chronic illness to prevent complications and improve quality of life. Medication adherence helps control HIV progression and maintain health.
C. Helping clients understand health screenings covered by their insurance plans: This is a secondary prevention activity, aimed at early detection of disease through screening, rather than managing an existing diagnosis.
D. Educating clients about contraindications to specific immunizations: This aligns with primary prevention, as it relates to preventing illness through safe vaccination practices, not managing or treating an existing chronic disease.
Correct Answer is B
Explanation
A. "Season foods with salt and pepper.": Spicy and seasoned foods can irritate the gastric mucosa, potentially worsening gastritis symptoms, so this advice is not appropriate.
B. "Eat small frequent meals daily.": Smaller, more frequent meals help reduce gastric acid secretion and minimize irritation of the stomach lining, which can alleviate symptoms of gastritis and promote healing.
C. "Use ibuprofen as needed for discomfort.": Nonsteroidal anti-inflammatory drugs like ibuprofen can exacerbate gastritis by irritating the stomach lining and increasing the risk of bleeding, so they should be avoided.
D. "Take a Vitamin E supplement daily.": There is no clear evidence supporting the use of vitamin E supplements for gastritis management, and supplementation is not a standard recommendation in this condition.
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