A nurse is assisting with the care of a client who has dementia.
Which of the following actions should the nurse take?.

. Make a personal introduction to the client at each interaction.

Give the client a list of foods to choose from for dinner.

Repeat orientation questions until the client gives a correct response.

Provide the client with a dark environment for sleeping.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Making a personal introduction to the client at each interaction is a recommended approach for clients with dementia. It helps to orient the client and establish a connection, which can reduce confusion and anxiety.

Choice B rationale:

Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.

Choice C rationale:

Choice D rationale:

Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.

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Correct Answer is A

Explanation

Choice A rationale:

Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. It’s important to avoid showing too much emotion, which could be misinterpreted by the client.

Choice B rationale:

Being vague when answering the client’s questions about instructions could increase the client’s paranoia. Clear and direct communication is essential.

Choice C rationale:

Asking the client why he is suspicious of others could lead to defensive behavior. It’s better to focus on building trust and understanding.

Choice D rationale:

Using an overly friendly approach could be perceived as insincere or manipulative by a client with paranoid personality disorder. A neutral demeanor is more effective.

A. "I anticipate that my child will feel some self-blame.”. B. "I will have to do all I can to monitor my child's relationships.”. . C. "I should encourage my child to focus solely on the future.”. . D. "I can encourage my child to think about what they did that allowed this event to happen.”. .

Correct Answer is A

Explanation

The correct answer is choice A: "I anticipate that my child will feel some self-blame."

Choice A rationale: Recognizing that the adolescent may experience self-blame demonstrates understanding and empathy from the guardian. This statement suggests that the guardian is aware of potential emotional challenges the adolescent might face and can provide appropriate support.

Choice B rationale: While monitoring relationships may come from a place of concern, overly controlling behavior could potentially harm the adolescent's social development and trust in their support system.

Choice C rationale: Encouraging the adolescent to focus solely on the future might dismiss their current emotional state and the importance of processing their feelings. A positive support system should provide space for the adolescent to work through their emotions.

Choice D rationale: Encouraging the adolescent to think about what they did that allowed the event to happen can promote feelings of guilt and self-blame. This approach is not supportive and could exacerbate the adolescent's trauma.

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A nurse is assisting with the care of a client who has dementia.
Which of the following actions should the nurse take?.