The nurse is caring for a patient with moderate Alzheimer disease. What nursing intervention best promotes communication?
1. Keep a consistent daily routine.
2. Limit the number of food choices.
3. Give the patient step-by-step instructions.
4. Correct the patient when experiencing a hallucination.
Answer: 2
Explanation: Patients with Alzheimer disease often communicate through behavior. Individuals with Alzheimer disease tend to have short attention spans, and limiting the number of food choices decreases the patient's frustration, improving communication. Keeping a consistent daily routine and giving the patient step-by-step instruction are appropriate interventions for a patient with Alzheimer disease; however, these do not promote communication. The nurse should not argue or correct a patient when the patient is experiencing a hallucination.
You might also like to view...
A nurse cares for a client with chronic obstructive pulmonary disease (COPD). The client states that he no longer enjoys going out with his friends. How should the nurse respond?
a. "There are a variety of support groups for people who have COPD." b. "I will ask your provider to prescribe you with an antianxiety agent." c. "Share any thoughts and feelings that cause you to limit social activities." d. "Friends can be a good support system for clients with chronic disorders."
After a bone marrow transplant, a patient is placed on a protocol of chemotherapy and radiation and the nursing diagnosis of risk for injury is added. Which nursing assessment should cause the nurse concern?
a. Increased urine output b. Decreasing bilirubin levels c. Increasing blood pressure d. Increasing abdominal girth
A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular dose of insulin. What else would the nurse tell the patient?
A) Eat as you regularly would. B) Try drinking juice, regular soda, and eating gelatin frequently and in small portions. C) Check your blood glucose every hour. D) Check your urine ketones every 8 hours.
The home care nurse finds a client who has diabetes awake and alert, but shaky, diaphoretic, and weak. The nurse gives the client cup of orange juice. The client's clinical manifestations have not changed 5 minutes later
Which is the nurse's best next action? a. Give the client another cup of orange juice. b. Call the rescue squad for transportation to the hospital. c. Administer 10 units of regular insulin subcutaneously. d. Administer 1 mg glucagon intramuscular-ly.