You are working with an elderly client whose memory has become progressively worse over the past 2 years. Her husband, because of her worsening incontinence, brought this client to the geriatric clinic
During the evaluation, you also learn that she is beginning to have difficulty finding her way home from the grocery store, which is only a few blocks away, and that she is becoming increasingly suspicious and paranoid. In helping the husband understand the paranoid behavior that his wife is exhibiting, you would offer which of the following explanations? a. "The paranoia and suspiciousness are due to unresolved feelings of guilt."
b. "As memory worsens, paranoia and suspiciousness often occur."
c. "The reason for the suspiciousness should be discussed with the person with dementia."
d. "The paranoid behavior is certain to get much worse as the disease progresses."
B
Paranoia and suspiciousness often accompany worsening memory loss. For example, it is quite common for individuals suffering from such memory loss to forget where they had previously placed items, and subsequently suspect family and friends of "stealing" them. Such persistent paranoia can be very draining on other family members. In some cases, delusions and hallucinations may accompany the paranoid ideations.
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Which of the following statements best captures an aspect of the role of hormones in the body?
A) Some chemical substances can function as hormones or be integrated with the central and peripheral nervous systems. B) Hormones directly initiate many of the processes that contribute to homeostasis. C) Control of body processes is ensured by the fact that a single hormone can only exert one effect on one specific system or tissue. D) Each hormone that exists in the body is produced by only one specific endocrine gland.
PHNs are looking to improve population-focused care in the community. Which of the following best describes a key opportunity for the nurses to accomplish this goal?
a. Assuming traditional nursing roles b. Influencing public health policy c. Conducting community assessments d. Specializing in community-based nursing practice
A practicing nurse is interested in health care economics. To create an environment where health care more closely resembles the consumer market, this nurse would place high priority on activities revolving around
a. educating patients and families. b. exploring the costs of treatment. c. understanding payment options. d. using less expensive supplies.
A child has been admitted to the hospital while unconscious. The child has a history of insulin-dependent diabetes mellitus (IDDM), and according to the child's mother, he took a normal dose of insulin this morning with breakfast
At school, the child had two pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this child's unconscious state? 1. Metabolic alkalosis 2. Metabolic ketoacidosis 3. Insulin shock 4. Insulin reaction