A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?
"Dementia is often caused by a sudden change in environment."
“The manifestations of dementia are progressive and irreversible."
“Dementia is characterized by a sudden onset over a few hours or days."
"An altered level of consciousness is associated with dementia."
The Correct Answer is B
A. Dementia is not typically caused by sudden environmental changes. Instead, it is a chronic condition that develops gradually over time due to neurodegenerative diseases, such as Alzheimer's disease, vascular dementia, or Lewy body dementia.
B. Dementia is characterized by a gradual decline in cognitive function, including memory, thinking, and reasoning skills. The progression of dementia is typically slow and leads to worsening symptoms over time. Currently, most types of dementia are considered irreversible, meaning that the damage to the brain is not reversible and the condition will continue to progress.
C. Dementia is a progressive condition that develops gradually, often over months or years. It is not characterized by a sudden onset. Sudden onset of cognitive symptoms is more indicative of delirium, which can be caused by acute medical conditions or other factors.
D. Dementia generally does not involve an altered level of consciousness. Instead, it primarily affects cognitive functions such as memory, reasoning, and orientation while consciousness remains clear.
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Related Questions
Correct Answer is C
Explanation
A. While this is positive reinforcement, it doesn't directly address the client's expression of gratitude. It's important to acknowledge the client's feelings first.
B. This response avoids the client's expression of gratitude and shifts the focus to the nurse.
C. This response acknowledges the client's expression of gratitude and opens up a dialogue about their feelings about discharge. It allows the nurse to provide support and address any concerns the client might have.
D. This response assumes the client's feelings and doesn't allow for the expression of other emotions. The client might not be excited about discharge for various reasons.
Correct Answer is B
Explanation
A. Depression is not just an occasional issue; it is a common and serious mental health concern among older adults. Many factors contribute to its prevalence, including loss of loved ones, chronic illnesses, isolation, and significant life changes.
B. Depression is indeed common among the elderly. Factors such as loneliness, physical health problems, loss of independence, and the death of friends and family can contribute to higher rates of depression in this age group. Studies have shown that depression is a frequent issue in older adults, and it is important for healthcare providers to be aware of and address it.
C. Depression is not non-existent in the elderly; it is a well-recognized condition affecting many older adults. Ignoring or dismissing the prevalence of depression in this population can lead to underdiagnosis and inadequate treatment, negatively impacting their well-being.
D. Depression is not rare among the elderly; it is a common issue. Factors such as chronic physical health conditions, loss of social support, and significant life changes can contribute to higher rates of depression in older adults. Proper assessment and treatment are essential to address this prevalent issue.
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