A client in the middle stage of Alzheimer's disease has difficulty communicating because of cognitive deterioration. Which nursing intervention is appropriate to improve communication?
1. Discourage attempts at verbal communication owing to increased client frustration.
2. Increase the volume of the nurse's communication responses.
3. Verbalize the nurse's perception of the implied communication.
4. Encourage the client to communicate by writing.
3
Rationale: The most appropriate nursing intervention is to verbalize the nurse's perception of the implied communication. The nurse should also keep explanations simple, use face-to-face interaction, and speak slowly without shouting.
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A client was admitted to home care and was dismayed to find the nurse discussing such uncomfortable topics as advance directives, living will, and durable power of attorney. Which of the following is the most appropriate response by the nurse?
a. "Don't be concerned; this is just routine." b. "I'm sorry, but the state law says I have to ask you to fill out these forms." c. "You get to make decisions about your care, but if, for any reason, you can't do this, these forms will tell us what you want us to do." d. "Your physician asked us to discuss these with you."
The patient is receiving corticosteroid treatment for neurologic alterations. The nurse should assess the patient for episodes of
a. hyponatremia. b. hyperalbuminemia. c. hyperkalemia. d. hyperglycemia.
The informal partnerships that the public health nurses have in the community have the potential to play an important part in recognizing diseases caused by bioterrorist agents because
A) the nurse will recognize changes within the community setting. B) the members of the community will comfortably report suspicious behaviors. C) the partnerships discourage terrorist activities. D) the partnerships contribute to and are essential for disease surveillance.
During a home visit, the nurse notes that an older patient is sitting in a poorly lit room listening to the radio
When the nurse turns on a light before starting to evaluate the patient and change a dressing on a wound, the patient says, "Oh, you don't need that light. I try to keep the lights off. Electricity is too expensive." Which response by the nurse is most appropriate? a. "Oh, I didn't realize you were pinching pennies. I'll use my flashlight." b. "I will turn off the light as soon as I finish changing the dressing on your wound." c. "It sounds like it would be helpful for you to talk with the social worker who can identify financial programs that could help you." d. "If you can't afford electricity, you may need to consider a new residence. I can set up a visit to a nice assisted living complex near here."