Which situation would be most likely to serve as a trigger to a catastrophic reaction in a patient with stage 2 Alzheimer's disease?
a. Participating in singing "Happy Birthday" to another patient at dinner
b. Being scolded by an aide for spilling a glass of milk
c. Listening to Big Band music from the 1940s
d. Eating cupcakes in the activities room
ANS: B
Catastrophic reactions are overexaggerated negative emotional responses initiated as a result of a perceived failure at a task or change in the environment. Being scolded by the aide pre-sents a situation that would clearly be frustrating to the patient.
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An LPN/LVN charts that "the patient is drunk and acting in a crazy manner." The team leader cautions the LPN/LVN that this documentation is not appropriate. What charges of commission of the intentional tort is this an example of?
a. Assault b. Wrongful publication c. Defamation of character d. Invasion of privacy
A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true?
a. All states require certification for all specialty roles that are identified as advanced practice. b. Nurse anesthetists and nurse-midwives are the only advanced practice role that require certification in the state nurse practice acts. c. Scope of practice remains unclear in state nurse practice acts due to the increasing number of new advanced practice roles. d. Certification is automatic when the nurse applies for an advanced practice license.
A client is prescribed a beta-blocker for treatment of coronary artery disease. Which of the following is the client most likely going to be prescribed?
1. Amlodipine 2. Atenolol 3. Diltiazem hydrochloride 4. Nicardipine
The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. The rationale for this nursing strategy includes:
1. Increasing the self-care behaviors of the pregnant teen. 2. Avoiding conflict between the adolescent father and pregnant teen. 3. Improving the long-term outcome of the relationship. 4. Avoiding legal action by the adolescent father's family.