A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.
The caregiver reports that the client awakens at night and wanders.
Which of the following strategies should the nurse suggest?.
Use light restraints while the client is in bed.
Place a lock at the top of doors leading outside.
Encourage the client to nap during the day.
Administer an antianxiety medication before bedtime.
The Correct Answer is B
Choice A rationale:
Using restraints can lead to injury and is generally a last resort.
Choice B rationale:
Placing a lock at the top of doors can prevent the client from wandering outside and getting lost or injured.
Choice C rationale:
Encouraging napping during the day can actually disrupt the client’s sleep cycle and increase nighttime wakefulness.
Choice D rationale:
While medication can be helpful, non-pharmacological interventions should be tried first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While it’s important to understand the client’s situation, the immediate safety of the baby is the priority.
Choice B rationale:
This response is the priority as it assesses the immediate safety of the baby.
Choice C rationale:
While support is important, the immediate safety of the baby is the priority.
Choice D rationale:
While communication with the partner is important, the immediate safety of the baby is the priority.
Correct Answer is C
Explanation
Choice A rationale:
Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.
Choice B rationale:
The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.
Choice C rationale:
This statement is correct. A client retains the legal right to privacy of health information even after they have died.
Choice D rationale:
A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.
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