A client was admitted with multi-infarct dementia. Nursing assessment and interview of the client would include what?
A) Electroencephalogram, X-rays, blood chemistries, and skull series
B) Intellectual ability, health history, and self-care ability
C) Early parent–child conflict and relational patterns
D) Assessment of deep tendon reflexes and muscle strength
Ans: B
A comprehensive nursing assessment should include obtaining the premorbid intellectual ability, health history, and self-care abilities of the client. The medical assessments, which are important, are not as critical to nursing assessment as the actions in the correct answer. Exploring early parent–child conflict and relational patterns would not be helpful with dementive process.
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