The family of a patient with dementia expresses concern to the nurse about the patient wandering at night. They are afraid that the patient might get up while they are sleeping and go outside. What is the best advice for the nurse to provide?
a. Apply a vest restraint at night.
b. Perform constant reality orientation.
c. Learn some behavior modification tech-niques.
d. Put new locks on the outside doors in new places.
D
Take advantage of the fact that patients with dementia are usually unable to learn new things. They will probably not be able to figure out how to work a new lock.
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Which body system is most highly influenced by previous life patterns and environmental conditions?
a. Circulatory b. Integumentary c. Respiratory d. Gastrointestinal
A patient with a nasogastric tube for intermittent enteral feedings has been coughing. Which intervention should the nurse perform prior to using the tube?
1. Reassess for tube placement. 2. Give the next feeding more slowly. 3. Flush the tube with sterile water prior to giving the next feeding. 4. Place the head of the bed at a 10-degree angle.
A nurse is teaching the staff about the general adaptation syndrome. In which order will the nurse list the stages, beginning with the first stage?
1. Resistance 2. Exhaustion 3. Alarm a. 3, 1, 2 b. 3, 2, 1 c. 1, 3, 2 d. 1, 2, 3
The nurse is preparing a presentation that highlights the benefits of annual influenza vaccination. The nurse correctly targets which groups? (Select all that apply.)
a. Parents of children 3 to 6 months of age. b. Diabetics who are over 50 years old. c. Pregnant women. d. Home health aides. e. CNAs who work in long-term care facili-ties.