Dementia/Alz

A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure the client's safety while walking in the halls, what should the nurse do? a) Assess the client's gait for steadiness. b) Administer PRN haloperidol to decrease the need to walk. c) Administer PRN lorazepam to provide sedation. d) Restrain the client in a geriatric chair.

Assess gait for steady

client with Alzheimer's disease has been prescribed donepezil 5 mg at bedtime. Which instruction should the nurse give to the client's daughter? a) Avoid suddenly stopping the medication. b) Observe her mother for signs of constipation. c) Take her mother to the clinic next week for blood work. d) Give her mother an extra dose if needed at night.

Avoid suddenly stopping

When providing family education for those who have a relative with Alzheimer's disease about minimizing stress, which suggestion is most relevant? a) Provide reality orientation even if the memory loss is severe. b) Allow the client to go to bed four to five times during the day. c) Test the cognitive functioning of the client several times a day. d) Maintain consistency in environment, routine, and caregivers.

Consistency in env, routine, caregivers

An elderly client with Alzheimer's disease has been living with his grown child's family for the past 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement? a) "It's difficult dealing with Dad. It's a thankless job." b) "We had no idea this would be so difficult. It's our cross to bear." c) "Dad has presented many challenges. We have alarms on all the outside doors now. Respite care gives us a break." d) "Dad really seems to be making progress. We're hoping he'll be able to move back into his house soon."

Dad has presented many challenges. We have alarms on all the outside doors now. Respite care gives us a break.

When communicating with the client who is experiencing dementia and exhibiting decreased attention and increased confusion, which intervention should the nurse employ as the first step? a) using gentle touch to convey empathy b) asking the client to go for a walk while talking c) rephrasing questions the client does not understand d) eliminating distracting stimuli such as turning off the television

Eliminate distractions

Choice Multiple question - Select all answer choices that apply. During a home visit to an elderly client with mild dementia, the client's daughter reports that she has one major problem with her mother. She says, "She sleeps most of the day and is up most of the night. I cannot get a decent night's sleep anymore." Which suggestions should the nurse make to the daughter? Select all that apply. a) Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime. b) Ask the client's health care provider (HCP) for a strong sleep medicine. c) Engage the client in simple, brief exercises or a short walk when she gets drowsy during the day. d) Promote relaxation before bedtime with a warm bath or relaxing music. e) Have the daughter encourage the use of caffeinated beverages during the day to keep her mother awake.

Engage the client in simple, brief exercises or a short walk when she gets drowsy during the day. • Promote relaxation before bedtime with a warm bath or relaxing music. • Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime.

client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: a) perform an aerobic exercise. b) play cards with another client. c) fold towels and pillowcases. d) participate in a game of charades.

Fold towels/pillowcases

A 62-year-old client reports being tired all the time, having trouble sleeping, and having trouble thinking. The nurse should: a) advise the client to discontinue daytime napping. b) refer the client to a senior citizens' support group. c) further assess the client's mental status and health history. d) inform the client about the normal aging process.

Further assess mental status and health history

93. A client with agnosia as a result of vascular dementia is staring at dinner and utensils without trying to eat. Which intervention should the nurse attempt first? a) Hand the fork to the client and say, "Use this fork to eat your green beans." b) Pick up the fork and feed the client slowly. c) Say, "It is time for you to start eating your dinner." d) Save the client's dinner until her family comes in to feed her.

Hand fork and say "use this to eat your green beans"

The nurse assesses a client who has Alzheimer's disease. Her hair is dirty; her clothing is soiled and has an odor of urine. The nurse should: a) help the client with her bath, allowing her to do as much for herself as she is able. b) instruct the client to bathe and put on clean clothing. c) ask the client when was the last time she bathed and changed her clothes. d) ask the daughter to bathe her mother

Help her with bath, let her do as much herself

While assessing a client diagnosed with dementia, the nurse notes that her husband is concerned about what he should do when she uses vulgar language with him. The nurse should: a) tell her to stop swearing immediately. b) say nothing and leave the room. c) ignore the vulgarity and distract her. d) tell her that she is very rude.

Ignore and distract

client with early dementia exhibits disturbances in mental awareness and orientation to reality. The nurse should expect to assess a loss of ability in which other area? a) speech b) balance c) endurance d) judgment

Judgement

A client is newly diagnosed with Alzheimer's disease. When planning this client's care, the nurse should focus on: a) providing a safe, structured environment. b) preventing loss of the client's cognitive functions. c) helping the client recognize his physical limitations. d) helping to reverse the disease.

Safe, structured env