In a supervision session, several of the nurses discuss methods for communicating with clients diagnosed with dementia. One nurse appropriately suggests:

A) Diminishing background noise in the environment.
B) Attempting a rational discussion of issues with the client.
C) Correcting errors by the client, and speaking in a loud, clear voice.
D) Using multiple memory cues and giving several directions at once.


A,

Nursing

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A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for her. The nurse will question this order because

A) serotonin syndrome may result. B) persistent coughing may develop. C) respiratory secretions may be thickened. D) secretions may be retained.

Nursing

Which is the nurse's best response to an older adult client who is hesitant to take the pneumo-coccal vaccination and influenza vaccine in the same year?

a. "You need both injections. A risk factor for getting pneumonia is infection with influenza." b. "Take both injections. They will protect you against respiratory problems for this year." c. "The flu shot may protect you against in-fluenza but not against bacteria that cause pneumonia." d. "You should get the pneumococcal vac-cination so you won't infect other people."

Nursing

The nurse is caring for a group of patients on the medical-surgical unit. The most important action the nurse can take in preventing falls is:

a. Use two siderails for each patient's bed b. Place a fall risk sign on the front of the patient's door c. Identify those patients who are at risk for falls d. Use wrist restraints for any confused or combative patient

Nursing

When developing a zero-based budget, nurse managers understand

a. the previous year's monies are applied to the current one. b. all budget needs are justified annually. c. no changes to patient care delivery can occur. d. it does not reflect actual changes of the unit.

Nursing