A student nurse is providing care to a client diagnosed with Alzheimer's disease. Which of the following should be the appropriate action by the student nurse when caring for this client?
Rotate assignment of daily caregivers.
Limit time for the client to perform activities.
Provide guidance for tasks one step at a time.
Provide an activity schedule that changes from day to day.
The Correct Answer is C
A. Rotate assignment of daily caregivers: Consistency in caregivers helps minimize confusion and anxiety for Alzheimer’s patients.
B. Limit time for the client to perform activities: Allowing more time can reduce frustration and improve the chance of successful task completion.
C. Provide guidance for tasks one step at a time: Breaking tasks into simple, manageable steps helps Alzheimer’s patients complete them more easily and reduces confusion.
D. Provide an activity schedule that changes from day to day: Consistency in routine is important for patients with Alzheimer’s to reduce confusion and anxiety
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Related Questions
Correct Answer is B
Explanation
A. Ensuring that the client takes care of their ADLs to prevent dependence: While maintaining independence in activities of daily living (ADLs) is important, safety takes precedence because the client may not have the cognitive ability to perform ADLs safely.
B. Ensuring that the client environment is safe to prevent injury. Safety is the priority for clients with Alzheimer's disease due to their risk of confusion, disorientation, and falls. Creating a safe environment helps prevent accidents and injuries.
C. Ensuring that the client receives food they like to prevent anxiety: Providing familiar food can help reduce anxiety, but this is secondary to ensuring safety. The primary concern is to prevent injury in a client who may be disoriented or confused.
D. Ensuring that the client meets the other patients to prevent social isolation. While social interaction is beneficial, it is not the priority in the acute care setting for someone with Alzheimer's disease. The focus should first be on the client’s immediate safety and well-being.
Correct Answer is D
Explanation
A. Early-stage dementia: At this stage, individuals might have some memory problems but can generally maintain independence. The symptoms described (significant memory loss, confusion, difficulty with language, and struggles with daily tasks) are more advanced than what is typically seen in early-stage dementia.
B. Mild cognitive impairment: This is a transitional stage between normal cognitive aging and dementia. It involves some memory problems and cognitive changes but not severe enough to impact daily functioning to the extent described.
C. Severe dementia: In this stage, individuals typically require assistance with most activities of daily living, have severe memory loss, and may not recognize close family members or understand their surroundings. The described symptoms do not yet indicate this level of severity.
D. Moderate dementia: This stage is characterized by more pronounced memory loss, confusion, difficulty with language, and an increasing need for help with daily tasks such as dressing and bathing, matching the client's symptoms.
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