The unlicensed assistive personnel (UAP) says to the nurse, "That patient with amnesia looks fine, but when I talk to her, she seems vague. What should I be doing for her?" Select the nurse's best reply
a. "Spend as much time with her as you can and ask questions about her life."
b. "Use short, simple sentences and keep the environment calm and protective."
c. "Provide more information about her past to reduce the mysteries that are causing anxiety."
d. "Structure her time with activities to keep her busy, stimulated, and regaining concentration."
ANS: B
Disruptions in ability to perform activities of daily living, confusion, and anxiety are often apparent in patients with amnesia. Offering simple directions to promote activities of daily living and reduce confusion helps increase feelings of safety and security. A calm, secure, predictable, protective environment is also helpful when a person is dealing with a great deal of uncertainty. Recollection of memories should proceed at its own pace, and the patient should only gradually be given information about her past. Asking questions that require recall that the patient does not possess will only add frustration. Quiet, undemanding activities should be provided as the patient tolerates them and should be balanced with rest periods; the patient's time should not be loaded with demanding or stimulating activities.
You might also like to view...
How individuals age does not depend on their
a. Life experiences b. Financial resources c. Stress management style d. Social support system
Faith Hoover is a nurse who serves as a member of a disaster team in a small city. Once every 3 months the team practices for a multiple-casualty incident. During these practice sessions, like many nurses, Faith has worked in several areas including
1. Engineering, supportive care, and supply. 2. Planning, logistics, and communication. 3. Rescue, evacuation, and coordination. 4. Triage, first aid, and shelter assistance.
Besides having diuretic effects for patients with congestive heart failure, thiazides are also used to treat what? (Select all that apply.)
a. Diabetes insipidus b. Hepatic failure c. Increased intracranial pressure d. Intraocular pressure e. Postmenopausal osteoporosis
A parent with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project."
The nurse can assess that the child: a. displays resiliency. b. has a difficult temperament. c. is at risk for posttraumatic stress disorder. d. uses intellectualization to deal with problems.