A patient diagnosed with moderate dementia consistently appears to be distorting the truth resulting in his wife asking, "What should I do when he lies to me about unim-portant things?" Upon what rationale should the nurse's response be based?
a. Changing the topic provides diversion.
b. Delusions should be confronted to clarify thinking.
c. Ignoring memory deficit avoids catastrophic reactions.
d. This isn't lying but rather a way to fill in the memory gaps.
ANS: D
Confabulation is not lying but rather a method for filling in the memory gaps. Ignoring, using confrontation, and changing the topic would not be as useful as gently reorienting.
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a. Put the iron preparation in milk. b. Put the iron preparation over ice. c. Dilute the iron preparation with water and drink it with a straw. d. Take the iron preparation with an antacid.
The nurse is assessing a newly admitted Native American client. When assessing the client's perception of touch, the nurse should
a. casually touch the client. b. use timing with touch. c. ask the client for permission to touch. d. shake the client's hand.
Which of the following measures can help prevent or reduce the risk for fire and burns?
A) have a fire extinguisher in the house B) avoid using flammable liquids C) only use extension and electrical cords that are in great shape D) all of the above