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The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client becomes agitated when asked questions and inquires why so many questions are being asked. What are the best actions for the nurse to take to obtain the necessary data? Select all that apply.

Persistently ask the same question until answered.

Give the client ample time to answer the questions asked.

Ask simple questions instead of compound questions.

Provide simple explanations to the client as often as required.

Take frequent breaks during the interview process.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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Correct Answer is D

Explanation

Choice A reason: The concept that cooperative people become increasingly helpless over time does not align with psychosocial theories of personality disorder development. Cooperation is generally seen as a positive trait and is not typically associated with the development of personality disorders.

Choice B reason: Self-transcendence contributing to self-consciousness and materialism is not a recognized psychosocial factor in the development of personality disorders. While self-transcendence can relate to a person's sense of connectedness with the broader universe, it is not directly linked to personality disorders.

Choice C reason: Highly self-directed individuals are often seen as having a strong sense of autonomy and control, which is not typically associated with the development of personality disorders. Uncooperativeness and intolerance are not inherent in self-direction.

Choice D reason: Failure to complete a developmental task can lead to psychosocial issues, which may contribute to the development of personality disorders. According to Erik Erikson's stages of psychosocial development, if an individual does not successfully navigate a stage, it may impact their personality and could potentially lead to disorders.

A. The family member said the client started to forget people's names. B. The confusion began suddenly after taking a newly prescribed antidepressant. C. The client states they have been tired and sleeping a lot more than usual. D. The family member states the client does not seem to enjoy previous activities.

Correct Answer is B

Explanation

Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.

Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.

Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.

Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.

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Naxlex Comprehensive Predictor Exams

Which is a psychosocial explanation for the development of personality disorders?

Correct Answer is D

Explanation

The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

Correct Answer is B

Explanation

The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client asks the nurse why all of these questions are being asked. Which techniques will the nurse most likely avoid using to foster more therapeutic responses? Select all that apply.

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

A female client comes to the clinic regularly for various somatic issues that have been ruled out for any organic cause. She states that she works as one of the only women on a cybersecurity technical team. Which statement made by the client indicates that she may have suppressed anger?

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

A client is seeking relief for undiagnosed pain. There is no history of significant physical illness or injury. The history reveals that the client was laid off 4 months ago from a job. Which statement made by the client would most strongly suggest a somatoform disorder?