The nurse is developing a care plan for a patient newly admitted to a unit that cares for patients with cognitive impairment. What is an important component of care for the patients on this unit?

a. Allow food selections from a menu with several choices.
b. Schedule frequent field trips off the unit for cognitive stimulation.
c. Plan for attendance at activities with several other patients on the unit.
d. Plan for a structured daily routine of events and caregivers.


ANS: D
Patients with a cognitive impairment benefit from a predictable routine and consistent caregivers. Trips off of the unit may confuse the patient and disrupt their normal routine. Offering too many selections causes confusion and can lead to agitation. Being in large groups for activities can overstimulate the patient and lead to agitation and fear.

Nursing

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A normal laboratory finding following a burn injury is

A) decreased leukocytes. B) decreased blood urea nitrogen (BUN) level. C) increased hematocrit. D) decreased potassium.

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The nurse admits a patient with narcolepsy to the psychiatric-mental health unit. Which statements best describe the medication choices for this disorder? Select all that apply

1. Sodium oxybate is given at night to consolidate sleep. 2. Traditional stimulants are given to increase wakefulness. 3. Antidepressants are used because they are known to suppress REM sleep. 4. Diphenhydramine is often the first line drug because of its safety profile. 5. Antipsychotics may be prescribed to reduce cataplexy.

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The nurse is teaching a patient with Guillain-Barré syndrome about the disease. The patient asks how he can ever recover if demylination of his nerves is occurring. What would be the nurse's best response?

A) "Guillain-Barré spares the Schwann cell, which allows for remyelination in the recovery phase of the disease." B) "In Guillain-Barré, Schwann cells replicate themselves before the disease destroys them, so remyelination is possible." C) "I know you understand that nerve cells don't remyelinate, so the physician is the best one to answer your question." D) "For some reason, in Guillain-Barré, Schwann cells become activated and take over the remyelination process."

Nursing

A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child. The nurse's best response to the mother would be:

1. "The doctor wants the child to have the shot." 2. "We will give the injection at the next visit." 3. "More complications are caused by the disease than the immunization." 4. "Side effects are expected, and there is nothing to worry about."

Nursing