The family of a patient with dementia expresses concern to the nurse about the patient wandering at night. They are afraid that the patient might get up while they are sleeping and go outside. The nurse's best advice would be to have them:
1. apply a vest restraint at night.
2. do constant reality orientation.
3. learn some behavior modification techniques.
4. put new locks on the outside doors in new places.
4
Take advantage of the fact that patients with dementia are usually unable to learn new things. They will probably not be able to figure out how to work a new lock.
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A nurse develops a plan of care for a client who has a history of hypocalcemia. What interventions should the nurse include in this client's care plan? (Select all that apply.)
a. Encourage oral fluid intake of at least 2 L/day. b. Use a draw sheet to reposition the client in bed. c. Strain all urine output and assess for urinary stones. d. Provide nonslip footwear for the client to use when out of bed. e. Rotate the client from side to side every 2 hours.
Most qualitative research reports identify whether the analysis used a template analysis style, an editing style, or an immersion/crystallization style
A) True B) False
Which assessment question would be least likely to elicit information relevant to suicidality?
A) "Have you had any thoughts about harming yourself?" B) "How many times have you threatened to kill yourself in the past but didn't act on it?" C) "Do you have a particular plan in mind?" D) "Do you have access to the means to carry out the plan?"
While assessing a 10-month-old infant, the nurse notices that the sclerae have a yellowish tint. Which organ system would require more in-depth assessment based on this finding?
1. Hepatic 2. Cardiac 3. Genitourinary 4. Respiratory