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.
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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Related Questions
Correct Answer is D
Explanation
A. Suicide rates are high among middle-aged individuals, particularly those between 45 and 64 years old but the highest rates are actually found among older adults and particularly among men. Among all age groups, older adults and young adults (especially males) have notably high suicide rates.
B. Suicide is a significant public health issue in the United States. It affects individuals across various demographics and has serious social, emotional, and economic impacts. The idea that it is "not a problem" is inaccurate and dismissive of the reality of the issue.
C. While antidepressants can be a crucial part of treatment for depression, which is a major risk factor for suicide, they do not fully control or prevent suicide on their own. Suicide prevention requires a comprehensive approach that includes mental health support, therapy, crisis intervention, and social support, among other strategies.
D. In the United States, suicide is indeed one of the leading causes of death. As of recent data, it ranks as the tenth leading cause of death overall. This highlights its significant impact and the need for effective prevention strategies and mental health support.
Correct Answer is A
Explanation
A. Drilling holes in the skull to drain fluid is more aligned with procedures for treating conditions like hydrocephalus (accumulation of cerebrospinal fluid in the brain) rather than a lobotomy. A lobotomy involves more invasive alterations to brain tissue.
B. In a prefrontal lobotomy, the surgeon would sever the connections between the frontal lobes and other parts of the brain, including the thalamus, to disrupt neural pathways. This was done in an attempt to alter behavior and mood. The procedure aimed to modify the function of the frontal lobes to reduce symptoms of severe mental disorders, but it often had significant and detrimental side effects.
C. This description refers to electroconvulsive therapy (ECT), not a lobotomy. ECT involves applying electrical currents to the brain to induce controlled seizures and is used to treat severe depression and other mental health conditions. It is different from the surgical approach of a lobotomy.
D. This description does not accurately describe a lobotomy. The lobotomy procedure involved cutting or damaging brain tissue rather than inserting implants. The insertion of implants into the brain is not characteristic of lobotomy and is not a common practice in the historical context of this procedure.
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