A client was diagnosed with Alzheimer's 3 years ago. His daughter is very concerned for both her father's and her mother's safety, because the client will not allow his hunting guns to be taken out of the house
Which combination of behaviors being exhibited by the client would present the greatest threat to his family's safety? a. agnosia and apraxia
b. wandering and alterations in perception
c. disinhibition and depression
d. memory loss and aphasia
C
The client's disinhibition and depression are presenting the greatest threat to the family's safety. The client in this situation refuses to allow his hunting guns to be taken out of the house. This poses a major threat to the family. As the pathology of dementia progresses, there is often a general loss of inhibition that may take a variety of forms. Episodes of physical and verbal aggressiveness may occur. The result is that the client may become harmful to self or others.
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A client diagnosed with severe arthritis tells the nurse that she always has some degree of pain. Which of the following could explain this client's poor pain management? (Select all that apply.)
1. Client does not appear to be in pain. 2. Client does not report pain. 3. Client cannot afford pain medication. 4. Client is fearful of becoming addicted to pain medication. 5. Client believes pain medication means the condition is worse. 6. Client has a high pain tolerance.
While in Buck's extension traction, the patient may be positioned on the back:
a. with the head of the bed elevated 45 degrees. b. turning to the unaffected side for 10- to 15-minute periods. c. with the buttocks slightly elevated off of the bed. d. with the bed tilted toward the side that is opposite the traction.
A care conference is being held with the family of an older patient in the late stages of Alzheimer's disease. The family wants to know if a feeding tube should be placed. How should this question be answered?
1. Tube feeding will aid the patient to gain weight. 2. Tube feeding is associated with a reduced risk of aspiration. 3. Tube feeding reduces the discomfort associated with dehydration. 4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
The nurse is caring for a pregnant client. The client's husband has come to the prenatal visit. Which question is the best for the nurse to use to assess the father's adaptation to the pregnancy?
1. What kind of work do you do? 2. What furniture have you gotten for the baby? 3. How moody has your wife been lately? 4. How are you feeling about becoming a father?