Which of the nurse's following questions is most appropriate for providing reality orientation for a patient with stage 5 Alzheimer's disease?
A) "Are you looking forward to Thanksgiving next week Mr. Hall?"
B) "Could you tell me the month and the year this morning, Mr. Hall?"
C) "Do you know what holiday is coming up soon, Mr. Hall?"
D) "Will your son and daughter-in-law be coming to visit on Thanksgiving, Mr. Hall?"
A
Feedback:
Answer A clearly but tactfully cues the patient to the fact that Thanksgiving is coming up, while answer D does not orient the patient as clearly to the fact that the holiday is next week. Answers B and C do not orient the patient but rather assess his orientation.
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A couple comes to the sleep disorder clinic because their 3-year-old daughter has problems falling asleep every night
The parents say that it takes their daughter 1 to 2 hours each night to fall asleep, and one of the parents ends up having to lie down with her. Which intervention should the nurse first suggest? a. The parents should trade each night who tries to put her to bed. b. The daughter could start falling asleep in the parents' bed, then could move to her own bed. c. Place the child in bed at the same time each night, and don't allow her to get out of bed. d. Follow a bedtime ritual each night, such as reading one book.
What electrolyte affects parathyroid hormone (PTH) secretion other than calcium?
A) Magnesium B) Sodium C) Potassium D) Zinc
The client who had a traumatic brain injury last week is now persistently unconscious, and is being cared for in the Intensive Care Unit. The family asks when attempts to stimulate the client will begin. What is the nurse's best answer?
A) "Stimulation will not begin until transfer to a rehabilitation unit." B) "Attempts begin while the client is still in the ICU." C) "There is little hope of improvement from persistently unconscious states." D) "The stimulation process will begin when the client is physiologically stable."
Which of the following should the nurse use as a basis for explaining the etiology of Alzheimer's disease to the family of a client with this disease?
1. It is a secondary dementia indicated by loss of recent memory and disorientation to time and place. 2. It is a primary dementia that is incurable, irreversible, and fatal. It is caused by the presence of a beta-amyloid protein in the neurons resulting in senile plaques. 3. It is a secondary dementia that is treatable with analysis of the diet and removal of toxic substances from the diet and environment. 4. It is a primary dementia characterized by stepwise decreases in cognitive abilities. It is irreversible but treatable with antihypertensive medications.