A nurse is providing teaching to the caretakers of a client who has Alzheimer’s disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?

Give the client a cup of hot black tea before bed.

Wake the client at the same time each morning.

Take the client for a walk 2 hours before bedtime each night.

Allow the client to take a 90-minute nap immediately after lunch.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Giving the client a cup of hot black tea before bed is not advisable. Black tea contains caffeine, which can interfere with sleep and exacerbate sleep disturbances. It is important to avoid stimulants before bedtime to promote better sleep quality.

Choice B reason:

Waking the client at the same time each morning helps establish a consistent sleep-wake cycle, which is beneficial for managing sleep disturbances. Regular wake times can help regulate the body’s internal clock and improve overall sleep patterns.

Choice C reason:

Taking the client for a walk 2 hours before bedtime can be beneficial as physical activity can promote better sleep. However, it is not as crucial as maintaining a consistent wake time, which directly influences the sleep-wake cycle.

Choice D reason:

Allowing the client to take a 90-minute nap immediately after lunch may interfere with nighttime sleep. Long naps during the day can reduce the drive to sleep at night, leading to further sleep disturbances.

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Correct Answer is B

Explanation

Choice A reason:

Paranoid personality disorder is characterized by pervasive distrust and suspicion of others. Individuals with this disorder often believe that others are out to harm or deceive them, and they may be reluctant to confide in others due to fear that the information will be used against them. They may also bear grudges and be quick to perceive attacks on their character that are not apparent to others. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

Choice B reason:

Histrionic personality disorder is marked by a pattern of excessive emotionality and attention-seeking behavior. Individuals with this disorder often feel uncomfortable when they are not the center of attention and may engage in inappropriate sexually seductive or provocative behavior to draw attention to themselves. They may also exhibit rapidly shifting and shallow expressions of emotions, use their physical appearance to attract attention, and have a style of speech that is excessively impressionistic and lacking in detail. These characteristics align with the behaviors described in the scenario.

Choice C reason:

Narcissistic personality disorder involves a pervasive pattern of grandiosity, need for admiration, and a lack of empathy for others. Individuals with this disorder often have an inflated sense of their own importance and a deep need for excessive attention and admiration. They may exploit others to achieve their own ends and believe they are superior to others. While they do seek attention, their behaviors are more focused on achieving admiration and recognition rather than the flirtatious and seductive behaviors described in the scenario.

Choice D reason:

Antisocial personality disorder is characterized by a disregard for and violation of the rights of others. Individuals with this disorder may engage in deceitful, manipulative, or aggressive behavior and often have a history of criminal activity. They may also show a lack of remorse for their actions. This disorder does not typically involve attention-seeking behaviors or flirtatious and seductive actions.

A. Grandiosity B. Flight of ideas C. Splitting D. Hyperactivity

Correct Answer is ["A","B","D"]

Explanation

Choice A reason:

Grandiosity is a common symptom of a manic episode. Clients may have an inflated sense of self-importance and believe they have special abilities or powers.

Choice B reason:

Flight of ideas is characterized by rapid and continuous speech with frequent changes in topic. This is a typical behavior during a manic episode.

Choice C reason:

Splitting, which involves viewing people or situations as all good or all bad, is more commonly associated with borderline personality disorder rather than bipolar disorder.

Choice D reason:

Hyperactivity is a hallmark of mania. Clients may exhibit increased energy levels, restlessness, and engage in excessive activities.

Choice E reason:

Withdrawal is not typically associated with manic episodes. It is more commonly seen in depressive episodes or other mental health conditions.

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A nurse is providing teaching to the caretakers of a client who has Alzheimer’s disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Correct Answer is B

Explanation

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is providing teaching to the caretakers of a client who has Alzheimer’s disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?

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