A nurse who works in a long-term care facility has noticed that one of the residents has been showing signs of impaired cognitive and self care abilities over the last 2 weeks. The nurse should:

1. Remember that memory loss is a normal, age-related change.
2. Investigate for possible physiologic problems.
3. Instruct the staff to be extra attentive as this person needs more assistance.
4. Inform the resident's family that the resident probably has some form of dementia.


Correct Answer: 2
Rationale 1: Cognitive impairment that interferes with normal life is not considered part of normal aging. A decline in intellectual abilities that interferes with social or occupational functions should always be regarded as abnormal and investigated.
Rationale 2: Cognitive impairment that interferes with normal life is not considered part of normal aging. A decline in intellectual abilities that interferes with social or occupational functions should always be regarded as abnormal and investigated.
Rationale 3: This option does not address the loss of function the client is experiencing.
Rationale 4: This option is premature and not within the scope of nursing practice.

Nursing

You might also like to view...

A dietary aide tells the nurse that an Asian American client won't eat anything on the tray being served because it is not balanced hot and cold. This situation represents an example of:

a. acculturation c. oppression b. cultural diversity d. stereotyping

Nursing

An intoxicated client is admitted to your unit and standard orders are instituted including a "banana bag" of IV fluids and a nutritional assessment

Based on these standard orders, what nursing diagnosis would be most appropriate for this client? A) Fluid volume deficit B) Altered nutrition C) Altered health maintenance D) Ineffective individual coping

Nursing

The nurse is examining a newborn male client's genitalia and notes that the opening of the foreskin is so small that it cannot be pulled back at all. What condition would the nurse document on the client record?

A) Prepuce B) Phimosis C) Hypospadias D) Epispadias

Nursing

The nurse is instructing a woman who does not perform monthly breast self- examinations (BSEs) by focusing on changing the woman's thought patterns by providing information about BSE in a variety of ways

The nurse verbally teaches the client about the procedure and explains the reason for performing it. The nurse provides pamphlets on BSE, shows a video, demonstrates the procedure, and provides an opportunity for return demonstration. Which theory does this exemplify? a. Behavioral theory b. Social learning theory c. Cognitive theory d. Critical theory

Nursing