Cognition: Dementia and Delirium || QUESTIONS
WITH COMPLETE SOLUTIONS!!!
A nurse is providing discharge teaching with the caregiver of a client who has Alzheimer's
disease and has a new prescription for memantine. Which of the following instructions should
the nurse include in the teaching?
a) Increase liquids and fiber in the client's diet.
b) Inform the provider immediately if the client develops a sore throat.
c) Provide assistance for the client during ambulation.
d) Monitor the client for the occurrence of panic attacks correct answers Answer: c) Provide
assistance for the client during ambulation.
(Dizziness, especially at the at the beginning of therapy, is a common adverse effect of
memantine and can affect the client's balance. The caregiver should take extra care to prevent
falls, such as providing assistance with ambulation.)
A nurse is admitting an older adult client who fell at home and is disoriented by time, place,
and person. Which of the following findings should indicate to the nurse that the client is
experiencing delirium?
a) The client is experiencing rapid mood swings.
b) The client awake and alert.
c) The client's began 5 months ago.
d) The client is experiencing auditory hallucinations. correct answers Answer: a) The client is
experiencing rapid mood swings.
(The presence of rapid mood swings and fluctuations in mood and behavior should alert the
nurse to the presence of delirium in this client. Causes of delirium can include medical
conditions such as infection, acute alcohol withdrawal, and postoperative complications.)
A nurse is walking in the hallway with a client who has dementia. The client says, "I just saw
the little white dog my father gave me when I was 10! Go get him for me." Which of the
following replies by the nurse illustrates the use of validation therapy?
a) "No, I'm sorry. There is no dog here at the facility."
b) "You must have loved your dog. Tell me about them."
c) "Your eyesight must be getting worse. You probably saw something white, but it was not a
dog."
d) Your little dog would be very old by now. Let's talk about today's date." correct answers
Answer: b) "You must have loved your dog. Tell me about them."
(This reply demonstrates validation therapy because the nurse replies to misperceptions
verbalized by the client about her earlier life or environment by demonstrating interest in the
client's life and asking the client to reminisce about the topic. Validation therapy calms and
redirects the client rather than increasing anxiety and agitation.)
A charge nurse is a long-term care facility is planning care for a client who has a alzheimer's
disease. which of the following intervention should the nurse include in the care plan?
WITH COMPLETE SOLUTIONS!!!
A nurse is providing discharge teaching with the caregiver of a client who has Alzheimer's
disease and has a new prescription for memantine. Which of the following instructions should
the nurse include in the teaching?
a) Increase liquids and fiber in the client's diet.
b) Inform the provider immediately if the client develops a sore throat.
c) Provide assistance for the client during ambulation.
d) Monitor the client for the occurrence of panic attacks correct answers Answer: c) Provide
assistance for the client during ambulation.
(Dizziness, especially at the at the beginning of therapy, is a common adverse effect of
memantine and can affect the client's balance. The caregiver should take extra care to prevent
falls, such as providing assistance with ambulation.)
A nurse is admitting an older adult client who fell at home and is disoriented by time, place,
and person. Which of the following findings should indicate to the nurse that the client is
experiencing delirium?
a) The client is experiencing rapid mood swings.
b) The client awake and alert.
c) The client's began 5 months ago.
d) The client is experiencing auditory hallucinations. correct answers Answer: a) The client is
experiencing rapid mood swings.
(The presence of rapid mood swings and fluctuations in mood and behavior should alert the
nurse to the presence of delirium in this client. Causes of delirium can include medical
conditions such as infection, acute alcohol withdrawal, and postoperative complications.)
A nurse is walking in the hallway with a client who has dementia. The client says, "I just saw
the little white dog my father gave me when I was 10! Go get him for me." Which of the
following replies by the nurse illustrates the use of validation therapy?
a) "No, I'm sorry. There is no dog here at the facility."
b) "You must have loved your dog. Tell me about them."
c) "Your eyesight must be getting worse. You probably saw something white, but it was not a
dog."
d) Your little dog would be very old by now. Let's talk about today's date." correct answers
Answer: b) "You must have loved your dog. Tell me about them."
(This reply demonstrates validation therapy because the nurse replies to misperceptions
verbalized by the client about her earlier life or environment by demonstrating interest in the
client's life and asking the client to reminisce about the topic. Validation therapy calms and
redirects the client rather than increasing anxiety and agitation.)
A charge nurse is a long-term care facility is planning care for a client who has a alzheimer's
disease. which of the following intervention should the nurse include in the care plan?
