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the nurse is on an Alzheimer's unit. a client is agitated and pulling
at things. Which of the following should the nurse do?
A) provide the client with therapeutic sensory devices
B) cohort the client with another client who is agitated, because
they will calm each other
C) place the client in a room with several other clients
D) leave the client alone for a period of time to reduce
stimulation .....ANSWER..... A) provide the client with therapeutic
sensory devices
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rationale:
A) correct. alzheimer's patients often pick at items, such as
buttons on clothing or medical devices, which poses a danger to
them. Providing them with safely designed sensory devices serves
the need of stimulating the senses as well as their urge to pick.
B) Cohorting the client with another agitated client can worsen
the problem due to increased stimulation.
C) Placing the client in a room with several other clients can
worsen the problem due to increased stimulation.
D) Leaving the client alone could lead to injuries related to the
agitation, picking.
The nurse is caring for a male client. The client has exhibited
some signs of anxiety and hostility. The nurse is aware the client
is a recently returned combat veteran. The nurse should assess
the client for which of the following conditions?
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A) post-traumatic stress disorder (PTSD)
B) bipolar disorder
C) schizophrenia
D) borderline personality disorder (BPD) .....ANSWER..... A) post-
traumatic stress disorder (PTSD)
rationale:
A)Correct PTSD is a known disorder from which veterans of war
can suffer. Any thorough evaluation of symptoms would include
one for PTSD.
B) Although veterans can potentially suffer from bipolar disorder,
PTSD is the best answer choice because of the common link.
Anxiety and hostility doesn't fit bipolar disorder.
C) although veterans can potentially suffer from schizophrenia,
PTSD is the best answer choice because of the link. Eliminate
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schizophrenia because it doesnt say he's having any
hallucinations
D) although veterans can potentially suffer from borderline
personality disorder, PTSD is the best answer.
the nurse is caring for a terminally ill client who has agreed to
enter hospice care. Which of the following statements indicates a
need for further client teaching by the nurse?
A) "you will help to make my wife as comfortable as possible
while in hospice care"
B) "you will help my wife get better so we can get back to our
old life"
C) "the goal is to make the end of my wife's life as comfortable
as possible"