A 70-year-old client is being evaluated for dementia. Assessment indicates the client is able to recall childhood memories and some recent events, has poor self-care skills, and cries much of the day. What is the appropriate diagnosis?
1. Depression
2. Dementia
3. Delirium
4. Grief reaction
1
Rationale: Affective disorders, particularly depression, can be masked by symptoms suggestive of dementia. Clinical symptoms may include impaired attention and memory, apathy, and self-neglect, with no complaints of depression. The term pseudodementia has been used to describe the reversible cognitive impairments seen in depression. There is no assessment of a loss to suggest a grief reaction.
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A nurse is developing a community education program about how to prevent sudden infant death syndrome (SIDS). Which of the following information would be included in the presentation? (Select all that apply.)
a. Always place a baby on his or her back to sleep. b. Use a semi-firm sleep surface. c. Allow the baby to sleep in a position that provides the most comfort. d. Allow the baby to sleep with a favorite toy or blanket. e. Do not let the baby get too hot during sleep. f. Avoid exposing the baby to cigarette or cigar smoke.
The nurse has developed a nursing diagnosis of Risk for Complications (RC) of Thrombophlebitis for a client. This is a problem that will be monitored and managed by the nurse using physician-prescribed and nursing-prescribed interventions
What type of nursing problem is this considered? A) Syndrome diagnosis B) Collaborative problem C) Actual diagnosis D) Risk diagnosis
The charge nurse is aware that some staff nurses routinely "short-cut" assessment activities for long-term patients. In case of a negative patient outcome related to this practice, does the charge nurse hold any liability?
1. No, these are licensed nurses who are responsible for their own practice. 2. Yes, but only if the charge nurse has documented previous suspicion of "short-cutting." 3. No, the liability is limited to the staff nurses and the facility. 4. Yes, the charge nurse has a duty to ensure staff competency.
Critical pathways of care refer to:
A. a care plan that provides outcome-based guidelines with a designated length of stay. B. a care plan designed for physicians to prescribe medications. C. a design of treatment that includes approved therapies. D. a technique in therapy to care for the client holistically.