The nurse is discussing home care of the patient with dementia with the patient's family. The nurse should advise the family to prevent the patient from wandering by:
1. applying a vest restraint to keep the patient in bed or in a chair.
2. putting locks on any doors that it would be dangerous for the patient to open (e.g., outside doors, medicine cabinet).
3. having someone remind the patient at least every 2 hours that he or she must not go outside by himself or herself.
4. setting up a reward system for the times the patient stays where the family has requested.
2
Patients with dementia must have the environment adapted to them rather than trying to adapt the patient to the environment. They usually forget things relatively quickly and will probably not remember what you have told them.
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Which are common causes for client noncompliance in the plan of care? (Select all that apply.)
a. Financial concerns b. Lack of support by family c. Staff dislike of a client d. Inability to understand the treatment plan e. Lack of access to treatment services
What is the best action for the nurse to implement to effectively listen therapeutically to a patient?
a. Concentrate on the patient and not think of responses to the patient while he or she is speaking. b. Determine the cause of the patient's prob-lem while the patient is speaking. c. Ask the patient why he thinks he feels the way he does. d. Tell the patient that you have had similar experiences.
The nurse would question an order for esomeprazole (Nexium) for the patient who is:
a. taking digoxin. b. noncompliant. c. asthmatic. d. on chemotherapy for cancer.
Which should the nurse monitor the client for who has experienced a significant systemic absorption of Timolol (Betimol)?
A. Blurred vision B. Dysrhythmias C. Hypertension D. Hypotension E. Hyperglycemia