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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In the cycle of domestic violence, a trigger is an event or situation that escalates tension and can lead to an abusive outburst. In this case, the wife's behavior is acting as a trigger for the husband's anger.
B. This stage occurs after the abusive incident, where the perpetrator might show remorse or affection to the victim. It's a period of calm before the cycle begins again.
C. This is not a specific term in the cycle of domestic violence. It could be interpreted as an external intervention to stop the abuse, but it doesn't fit the context of the question.
D. This is the stage where the actual abuse occurs. It follows the tension-building phase and precedes the honeymoon phase. This option does not accurately reflect the situation described in the prompt.
Correct Answer is D
Explanation
A. Projection involves attributing one’s own unacceptable feelings or thoughts onto another person. However, in this case, the patient’s tantrum and crying are more about their own inability to handle the refusal rather than projecting feelings onto others.
B. Repression is a defense mechanism where distressing thoughts or feelings are unconsciously blocked from entering awareness. For instance, if the patient were to push aside their feelings of disappointment about not receiving the diet pills without expressing them, that would be repression.
C. Denial involves refusing to accept reality or facts that are distressing or threatening. However, the primary behavior in this situation is the tantrum and crying, which are more indicative of another defense mechanism rather than outright denial.
D. Regression is a defense mechanism where an individual reverts to behaviors characteristic of an
earlier developmental stage in response to stress or conflict. The patient’s crying and tantrum can be seen as regressive behavior because it reflects a return to more childlike or immature ways of handling frustration, similar to how a child might react to not getting what they want.
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