Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?

"You are likely to become progressively more confused now."

"This is only a temporary situation."

"Don't worry about it; everyone is confused when they are in the hospital."

"Things may be upsetting and confusing right now, but your confusion should clear as you get better."

Answer and Explanation

The Correct Answer is D

A.   This statement may cause unnecessary distress to the client and is not necessarily true in this situation.
B.   While the confusion may be temporary, this statement may not provide enough reassurance or information.
C.   This statement may not be accurate or helpful in addressing the client's concerns about confusion.
D.   This statement provides reassurance and offers a positive outlook, indicating that the confusion is likely to improve as the client's condition gets better.

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Correct Answer is A

Explanation

A. "He may begin to try to cover recognition of his memory loss by creating events." As
dementia progresses, individuals may experience confabulation, which involves creating false memories to compensate for memory loss. This is a common symptom seen in the middle stages of dementia.

B. "He may have difficulty in a motor skill such as walking." While motor skills may be affected in the later stages of dementia, it is not typically one of the early signs.

C. "The inability to communicate with speech comes immediately after the early signs." This statement is not accurate. Communication difficulties may occur in later stages, but it is not an immediate progression from early signs.

D. "He may not recognize you and other people who have been in his life." This symptom, known as agnosia, may occur in later stages of dementia, but it is not one of the early signs.

A. Plan to discuss any topic that is presented. B. Focus on client weaknesses to increase adaptation. C. Provide continuity of care by assigning the same staff. D. Allow client to determine the boundaries of the nurse client relationship.

Correct Answer is C

Explanation

A) Incorrect. While discussing various topics is important, providing continuity of care is more crucial in creating a therapeutic environment for clients with paranoia and schizophrenia.

B) Incorrect. Focusing on client strengths rather than weaknesses is generally a more effective approach in mental health care.

C) Correct. Providing continuity of care by assigning the same staff helps build trust and a sense of security for clients, especially those with paranoia and schizophrenia.
D) Incorrect. While it's important to establish boundaries, allowing the client to solely determine them may not always be in their best interest.

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Which statement made by the nurse would be most appropriate to an elderly client who is confused, has no history of dementia and is hospitalized for an acute urinary tract infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

Correct Answer is A

Explanation

A nurse is planning to run a group for clients diagnosed with paranoia and schizophrenia on an acute care mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Correct Answer is C

Explanation

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