The spouse of a 67-yr-old male patient with early stage Alzheimer's disease (AD) tells the nurse, "I am exhausted from worrying all the time. I don't know what to do." Which actions are best for the nurse to take at this time? Select All that Apply

Ask the spouse what she knows about dementia care options.

Suggest placement into a long-term care facility.

Teach the spouse about adult day care as a possible respite.

Suggest that the spouse consult with the physician for antianxiety drugs.

Offer ideas for ways to distract or redirect the patient.

Answer and Explanation

Correct Answer : A,C

Choice A Rationale: Asking the spouse what she knows about dementia care options is a good starting point to assess her knowledge and provide information and resources, and empowering her to make informed decisions.

Choice B Rationale: Suggesting placement into a long-term care facility should not be the first option but can be explored if necessary, based on the client's condition and the caregiver's needs.

Choice C Rationale: Teaching the spouse about adult day care as a possible respite is a way of offering support and relief for the caregiver, who may experience stress and burnout from the constant demands of caring for a patient with AD.

Choice D Rationale: Suggesting that the spouse consult with the physician for antianxiety drugs is not helpful, as it may imply that the spouse's feelings are abnormal or that she needs medication to cope.

Choice E Rationale: Offering ideas for ways to distract or redirect the patient is not relevant to the spouse's needs, as it does not address her exhaustion and worry.

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Correct Answer is D

Explanation

Choice A Rationale: Linking the pain to nasal stuffiness is not an accurate explanation of trigeminal neuralgia.

Choice B Rationale: Hypoglycemia is not typically related to trigeminal neuralgia.

Choice C Rationale: Releasing catecholamines with infection or stress is not the primary cause of trigeminal neuralgia.

Choice D Rationale: Pain is often due to stimulation of the affected nerve by pressure and temperature. This is a more accurate and relevant explanation for trigeminal neuralgia.

A. A "It increases their risk of experiencing a stroke." B. B "It can increase their blood pressure." C. C "It can increase their risk for infection." D. D "It can increase their risk for falls."

Correct Answer is A

Explanation

Choice A Rationale: some medications that are used to calm down people with dementia can have serious side effects, especially for older adults. One of these side effects is an increased risk of experiencing a stroke, which can be life-threatening.

Choice B Rationale: Increased blood pressure can be a side effect of some medications used to calm patients with dementia, but it may not be the primary reason for not prescribing such medications. Furthermore, some medications can lower blood pressure, not increase it.

Choice C Rationale: Increased risk for infection is not typically a reason to avoid medications to calm dementia patients.

Choice D Rationale: is partially true because some medications can increase the risk for falls, but this is not the main reason why they are avoided.

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The spouse of a 67-yr-old male patient with early stage Alzheimer's disease (AD) tells the nurse, "I am exhausted from worrying all the time. I don't know what to do." Which actions are best for the nurse to take at this time? Select All that Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with trigeminal neuralgia. The client asks the nurse, "Why do I have so much pain?" Which of the following responses by the nurse is most appropriate?

Correct Answer is D

Explanation

A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which is the best action by the nurse?

A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

Which of the following manifestations can the nurse expect in a client with upper motor neuron deficit related to a spinal cord injury?

A client with a diagnosis of trigeminal neuralgia reports which of the following manifestations as significantly affecting her quality of life?

When caring for the client hospitalized with tetanus, which of the following will the nurse include in the care plan?

When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?

A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?

A client with Alzheimer's is having increased behavioral issues that have become a safety concern for the client and others. Which of the following medications will the nurse discuss with the physician for inclusion in the client's care plan?