A client diagnosed with neurocognitive disorder exhibits progressive memory loss, diminished cognitive functioning, and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?

A. Schedule structured daily routines.
B. Minimize environmental lighting.
C. Organize a group activity to present reality.
D. Explain the consequences for aggressive behaviors.


ANS: A
The most appropriate nursing intervention for this client is to schedule structured daily routines. A structured routine will reduce frustration and thereby reduce verbal aggression.

Nursing

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A 58-year-old male patient with a 60 pack-year history of cigarette smoking and a history of heavy alcohol use has been diagnosed with laryngeal cancer following a physical examination and endoscopy

The patient has been scheduled for a partial laryngectomy and is highly anxious about the consequences of this surgery. What patient education should the nurse provide for this man? A) "Most people who have a partial laryngectomy find that their breathing, swallowing, and speech are unchanged." B) "After a partial laryngectomy, most patients work with a speech therapist and regain some of their ability to speak." C) "A partial laryngectomy has the advantage of having only a minimal effect on your speech." D) "Unfortunately, the nature of a partial laryngectomy means that you can no longer use your vocal cords."

Nursing

The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?

a. The LPN/LVN is able to administer oral medications. b. The LPN/LVN is a first-line manager responsible to the RN. c. The LPN/LVN formulates nursing diagnoses and care plans. d. The LPN/LVN interprets and implements research findings.

Nursing

A patient is brought to the Emergency Department with cold, white, waxy fingers and toes. The patient denies pain. Which intervention does the healthcare professional provide as the priority?

a. Applying local, dry heat b. Rubbing or massaging the area c. Immersing in warm water d. Leaving the area uncovered

Nursing

A nurse is creating an interdisciplinary plan of care for a 15-year-old client. Which of the following treatment modalities is especially helpful for adolescents?

A) Family therapy B) Play therapy C) Group therapy D) Individual therapy

Nursing