QUESTIONS AND ANSWERS
The nurse is caring for a 76 y/o client whose daughter reports has had memory loss. Which
nursing statement facilitates the assessment of memory? - ANS "Describe how you came to
the hospital today"
Or "What did you have for breakfast?"
The nurse is caring for an older adult who is usually A&O. When the client became suddenly
confused, what is the priority nursing assessment? - ANS SpO2
The nurse is caring for a 30-year-old client who experienced a frontal lobe infarction after a
motorcycle accident. What is the appropriate nursing intervention? - ANS Enable the bed
alarm safety system
How can narcan be administered? - ANS Any route
What might you notice in a patient who has damaged their frontal lobes? - ANS Onset
of/increased aggression
Case study 1, Q1: The wife of a client recently diagnosed with Alzheimer's disease asks the
nurse if there is a cure for her husband's illness. What is the appropriate nursing response? -
ANS "Cholinesterase inhibitor drugs can slow the progression of the disease for some
patients"
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, Case study 1, Q2: To facilitate the client's safe independence, which action will the nurse
recommend? - ANS Place out clothing options and allow the client to choose what to wear
Case study 1, Q3: At a six-month follow-up appointment, the wife states that the client
occasionally has difficulty finding the correct words to use when communicating. What term
does the nurse use to document this data? - ANS Anomia
Case study 1, Q4: At an 18-month follow up appointment, the wife states that her husband
seems depressed most of the time and has become less talkative over the past few months.
Which medication could be helpful for the client's symptoms? - ANS Sertraline
Case study 1, Q5: The client's wife calls the healthcare provider's office to report that her
husband took a walk today in a very familiar area, yet got lost and a neighbor brought him
home. What safety measures will the nurse recommend? - ANS Consider enrollment in the
Safe Return Program
Obtain a medical ID bracelet that he should wear at all times
Place him in a geri-chair when you can't be with him
Case study 1, Q6: During the call, the wife states that she must go out of town for three days to
care for an elderly cousin, and she is concerned about her husbands care. Which nursing
response is appropriate? - ANS There are organizations that may be able to provide an
interim caretaker for your husband
Apraxia - ANS Difficulty with skilled movements even when a person has the physical ability
and desire to do them, due to brain damage
Aphasia - ANS Impairment of language, usually caused by left hemisphere damage either to
Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).
Anomia - ANS Loss of the ability to name objects or names of people
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