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 A
Explanation
Choice A rationale:
Acknowledging an inability to control drinking is the first step in many recovery models, including the 12-step program of Alcoholics Anonymous. This step involves admitting that alcohol has taken over one’s life.
Choice B rationale:
Agreeing to a prescription for an alcohol use deterrent can be a part of the recovery process, but it is not typically the first step.
Choice C rationale:
Incorporating a form of spirituality into daily life can be a part of the recovery process for some individuals, but it is not typically the first step.
Choice D rationale:
Forming a close support network is crucial in the recovery process, but it comes after acknowledging the problem.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Alcohol use disorder is a risk factor for suicide. Alcohol can increase impulsivity and decrease inhibitions, which can lead to suicidal behaviors.
Choice B rationale:
Being currently married is generally considered a protective factor against suicide, not a risk factor.
Choice C rationale:
Access to lethal means, such as guns in the home, is a significant risk factor for suicide.
Choice D rationale:
A family history of suicide, including a sibling history of suicide, is a risk factor for suicide.
Choice E rationale:
Terminal illnesses, such as liver cancer, can increase feelings of hopelessness and despair, which are risk factors for suicide.
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