An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Speak loudly and use simple words

Address the client by name and reorient client

Challenge the client to refocus his attention when he becomes agitated

Ask the client a series of questions without allowing time for the client to answer

Answer and Explanation

The Correct Answer is B

A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.

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Correct Answer is ["0.5"]

Explanation

Doserequired=15mg

Doseavailable=30mg/tablet

Numberoftablets= 15mg ÷ 30mg/tablet = 0.5tablets

The nurse should administer 0.5 tablets per dose.

A. A patient who needs help with bathing B. A post-op laparotomy patient who needs education. C. A newly admitted patient with a seizure disorder. D. A dehydrated patient with an electrolyte imbalance.

Correct Answer is A

Explanation

A. A patient who needs help with bathing: Nursing assistants are trained to assist with activities of daily living (ADLs), such as bathing.
B. A post-op laparotomy patient who needs education. Education and postoperative teaching require the skills and knowledge of a licensed nurse.
C. A newly admitted patient with a seizure disorder. Newly admitted patients with complex conditions need thorough assessment and monitoring by a licensed nurse.
D. A dehydrated patient with an electrolyte imbalance. Managing dehydration and electrolyte imbalances requires clinical judgment and interventions that should be handled by a licensed nurse.

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An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer Temazepam 15 mg PO at bedtime. The amount available is Temazepam 30 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

When making shift assignments, which patient is most appropriate for a nursing assistant?

Correct Answer is A

Explanation

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