A client with Alzheimer's disease is admitted to the hospital. Which psychosocial assessment is most important for the nurse to complete?
a. Ability to recall past events
b. Ability to perform self-care
c. Reaction to a change of environment
d. Relationship with close family members
C
As the disease progresses, the client experiences changes in emotional and behavioral affect. The nurse should be alert to the client's reaction to a change in environment, such as being hospitalized, because the client may exhibit an exaggerated response, such as aggression, to the event. The other assessments should be completed but are not as important for a client with Alzheimer's disease.
You might also like to view...
Which of the following are included in Stoll's guidelines for spiritual assessment? (Select all that apply.)
a. concept of good and evil b. sources of hope and strength c. religious faith d. relationship between spiritual beliefs and health e. beliefs and values f. community
Which of the following would pose a safety hazard in a hospital environment?
a. Side rails are raised for clients of all ages. b. An incontinent client has urinated on the floor. c. A dietary tray is left on a bedside table. d. The door to a client bathroom is open.
A nurse is assessing a client with a stage IV pressure ulcer. What assessment of the ulcer would be expected?
A) Full-thickness skin loss B) Skin pallor C) Blister formation D) Eschar formation
A client is to receive a heparin injection. The highest priority nursing intervention before administration of the medication is to check the:
a. PT and INR. b. PTT and APTT. c. CBC. d. platelet count.