Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

Provide companionship.

Provide activity which stimulates the cent

Maintain client’s familial routine

Remind client that it is time to go to bed.

Reduce environmental stimulation.

Answer and Explanation

Correct Answer : A,C,E

A.   Providing companionship can help reduce feelings of isolation and agitation that may be exacerbated by sundown syndrome. Presence and interaction with a supportive person can provide comfort, reassurance, and a sense of security, which may help manage anxiety and agitation during the late hours.
B.   Engaging in stimulating activities in the late afternoon or evening can sometimes worsen symptoms of sundown syndrome. Instead, activities should be calming and relaxing as excessive stimulation can
increase agitation and confusion. It’s better to plan stimulating activities earlier in the day.
C.   Maintaining a familiar routine helps provide structure and predictability, which can be comforting for individuals with dementia. Consistent routines can help reduce confusion and anxiety, especially during the times when sundown syndrome symptoms are most pronounced.
D.   While reminding the client about bedtime may seem like a good strategy, it can sometimes lead to frustration or increased agitation if the client is not ready for sleep or is confused. It is generally more effective to create a calming environment and use soothing routines rather than directly reminding the client of bedtime.
E.   Reducing environmental stimulation, such as minimizing noise, bright lights, and other distractions, can help create a calm and peaceful environment. This approach can help prevent overstimulation, which is known to exacerbate sundown syndrome symptoms.

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Correct Answer is A

Explanation

A. In the cycle of domestic violence, a trigger is an event or situation that escalates tension and can lead to an abusive outburst. In this case, the wife's behavior is acting as a trigger for the husband's anger.
B. This stage occurs after the abusive incident, where the perpetrator might show remorse or affection to the victim. It's a period of calm before the cycle begins again.
C. This is not a specific term in the cycle of domestic violence. It could be interpreted as an external intervention to stop the abuse, but it doesn't fit the context of the question.
D. This is the stage where the actual abuse occurs. It follows the tension-building phase and precedes the honeymoon phase. This option does not accurately reflect the situation described in the prompt.

A. Projection B. Repression C. Denial D. Regression

Correct Answer is D

Explanation

A. Projection involves attributing one’s own unacceptable feelings or thoughts onto another person. However, in this case, the patient’s tantrum and crying are more about their own inability to handle the refusal rather than projecting feelings onto others.
B. Repression is a defense mechanism where distressing thoughts or feelings are unconsciously blocked from entering awareness. For instance, if the patient were to push aside their feelings of disappointment about not receiving the diet pills without expressing them, that would be repression.
C. Denial involves refusing to accept reality or facts that are distressing or threatening. However, the primary behavior in this situation is the tantrum and crying, which are more indicative of another defense mechanism rather than outright denial.
D. Regression is a defense mechanism where an individual reverts to behaviors characteristic of an
earlier developmental stage in response to stress or conflict. The patient’s crying and tantrum can be seen as regressive behavior because it reflects a return to more childlike or immature ways of handling frustration, similar to how a child might react to not getting what they want.

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Which interventions will help to lessen the effects of sundown syndrome? (Select al that apply)

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Naxlex Comprehensive Predictor Exams

A married couple is seeking counseling for domestic abuse issues. The husband states that he can't control his anger when his wife co the assault cycle, the wife's behavior in this situation is the stage known as:

Correct Answer is A

Explanation

A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?

Correct Answer is D

Explanation

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