A nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation
The nurse determines that the son has understood the instructions when he states which of the following?
A) "Restraints can help reduce my father's agitation."
B) "I should place my father in the bedroom with me so I can watch him more closely."
C) "It's important that he gets out shopping with me or my wife."
D) "If I simplify our home environment, my father may be less agitated."
Ans: D
The nurse determines that the son has understood the nurse's instructions when he says, "If I simplify our home environment, my father may be less agitated." The goal is to reduce environmental stimuli and adapt the environment to the client. Restraints are used only as a last resort. Continuous surveillance is unrealistic. Taking the client out shopping would add to the already intense and highly confusing stimulation.
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a. Ensures that collaborative efforts of many professionals will be used
b. Confirms the individual's responsibility for resolving the health problem
c. Empowers decision-making based on both individual and community goals, needs, and priorities
d. Enables the nurse to ask for assistance from other community professionals
e. Encourages allocation of time for population-focused preventive efforts
f. Upholds professional nursing standards of care
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a. introducing the client and family to personnel on the new unit b. giving the client's personal effects to the family for safekeeping c. allowing the client and family to say good-bye to personnel on the unit being left d. promising that the nurse will visit the client frequently on the new unit
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Of the assessments made by the nurse, the one indicating the immune system is functioning to combat an abscessed tooth is:
a. anorexia. b. purulent expectorate. c. foul breath. d. enlarged cervical lymph node.