A nurse is providing care for an 80-year-old patient who experienced an ischemic cerebrovascular accident (CVA) 3 weeks prior
Which of the following nursing actions is most likely to appropriately address the cognitive changes that have accompanied the patient's stroke? A) Discuss distant past events while avoiding discussions of recent events.
B) Emphasize written rather than spoken communication on the part of both the patient and the nurse.
C) Increase the volume of spoken communication as much as possible.
D) Talk to the patient and give explanations while performing routine care tasks.
D
Feedback:
It is beneficial for post-CVA patients to be spoken to and have routine activities explained. While distant memory often remains more intact, it would not be appropriate for the nurse to avoid discussion of current or recent events. It would likely be inappropriate and/or unnecessary to forego spoken communication in favor of written communication. The nurse should speak clearly and distinctly but in not too high a volume.
You might also like to view...
A patient with chronic obstructive pulmonary disease has been receiving oxygen therapy for an extended time. The nurse suspects that the patient is experiencing oxygen toxicity as evidenced by:
A) Bradycardia and frontal headache B) Dyspnea and substernal pain C) Anger and restlessness D) Poor personal hygiene
During a physical examination, a nurse responds to the patient's behavior and concerns. Which responses by the nurse are considered judgmental? Select all that apply
a. "You shouldn't feel that way." b. "Tell me more about your feelings." c. "That sounds like a very good point." d. "That is bad to say about yourself." e. "What made you come to that conclusion?" f. "What do you think the results of the test will be?"
The nurse is performing an assessment of a client with suspected esophageal cancer. Which statement made by the client does the nurse correlate with advanced disease?
a. "I have difficulty swallowing solids." b. "I usually have a sticking feeling in my throat." c. "I have difficulty swallowing soft foods." d. "I have difficulty swallowing liquids."
A client is admitted to the hospital after being found in a car on the side of a bridge complaining of having a heart attack. Following extensive tests, it is found the client did not have a heart attack. The client most likely was having:
A) Suicidal feelings. B) Posttraumatic stress disorder. C) Transitory cardiac symptoms. D) A panic attack.