1. A delirious client is shouting for someone to get particular to a client with Alzheimer's Disease (AD)?
the spiders off him. Which of the following responses (Select all that apply - -- Provide mental
is most appropriate? - -"I know you're stimulation with simple games or activities.
frightened. I don't see spiders on you, but I'll stay - Use calm and reassuring voice.
here with you." - Maintain regular schedule.
1. Which of the following nursing diagnosis is best for Why is the nursing role significant in promoting
a geriatric client experiencing visual and auditory psychosocial wellness in the older adult? - -
hallucinations? - -Disturbed Sensory nursing process can uncover many problems that the
Perception. nurse can respond to.
A nurse places an object in the hand of a client with A 70-year-old gentleman who was recently diagnosed
Alzheimer's disease and asks the client to identify the with Alzheimer's disease. He pays his bills on time
object. Which of the following terms represents the and lives independently. He experiences mild
client's inability to name the object? - -Agnosia. forgetfulness; however, it has not compromised his
safety. He has lost interest in attending family
functions. What stage of the disorder is this patient
The medical term ____________ refers to the experiencing? - -Early stage
inability to recognize familiar objects. - -
Agnosia
A nurse needs to perform a neurologic assessment
on a newly admitted client. Which of the following
A family member of a client with dementia asks the nursing actions will assist in obtaining accurate
nurse the difference between delirium and dementia. results? - -ensure client is comfortable and well
Which of the following is the most accurate response rested prior to assessment
to this question? - -Delirium is an acute
confusion which is usually reversible.
In which stage of Alzheimer's will the clients
experience difficulty with language, object recognition
What is the best nursing action for preventing and difficulty with judgement? - -Middle stage
frustration and agitation when an older client with
dementia asks about his or her mother, who is
deceased? - -Say, "You miss your mother. _________________ is a type of dementia commonly
What was she like?" resulting from cerebrovascular disease and
hypertension? - -Multi-Infarct Dementia
What approach is best when managing the care of a
client with dementia who insists on always carrying a When assessing the client for orientation status, the
purse? - -ensure the client has her purse at all nurse asks the client ________________. (Select all
times. that apply.) - -- his/her name;
- place where he/she currently is;
- State date/time;
______________ is an impaired ability to coordinate - Describe his current situation
movement. - -Ataxia
________________ is an acute brain syndrome,
Which of the following nursing interventions is usually temporary with delusions. - -Delirium
1/3