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A hypersexuality b disinhibition c hypervocalization

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A)HypersexualityB)DisinhibitionC)HypervocalizationD)Apathy18.After teaching a group of nursing students about Alzheimers disease and appropriate nursing care,determines that the teaching was successful when the students identify which of the following as thproviding care to the client and family?A)Therapeutic relationshipB)Medication therapyC)Injury preventionD)Functional independence19.A nurse is providing care to a client with Alzheimers disease who is exhibiting suspiciousness andWhich of the following would be most important for the nurse to do with this client?A)Tell the client that he is experiencing delusions.B)Confront the client about his distorted thinking.C)Correct the clients interpretation of the situation.D)Determine the trigger for the distorted thinking.20.A client with Alzheimers disease is admitted to the acute care facility for treatment of an infection.that the client is anxious. When developing the clients plan of care, which of the following would bto include?A)Frequently provide reality orientation.B)Simplify the clients routines.C)Limit the number of choices to be made.D)Establish predictable routines.Answer Key1.D
2.C3.C4.A, C, D, E5.A6.C7.A8.D9.A10.A11.C12.A13.A, C, E14.C15.B16.B17.C18.A19.D20.AChapter17. Alzheimer’s Disease and Other DementiasMULTIPLE CHOICE1. A patient diagnosed with moderate dementia consistently appears to be distorting the truthresulting in his wife asking, What should I do when he lies to me about unimportant things?Upon what rationale should the nurses response be based?a.Changing the topic provides diversion.b.Delusions should be confronted to clarify thinking.c.Ignoring memory deficit avoids catastrophic reactions.d.This isnt lying but rather a way to fill in the memory gaps.ANS: DConfabulation is not lying but rather a method for filling in the memory gaps. Ignoring, usingconfrontation, and changing the topic would not be as useful as gently reorienting.DIF: Cognitive Level: Application REF:msc:374TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. The nurse is to perform a complete assessment of a patient in her home, using the Mini-MentalState Examination (MMSE) as one component. When the nurse arrives, the patient is seated atthe table with her husband, the TV is on, and several grandchildren are visiting. The patient isquiet, but her hands are gripped tightly, and she is staring at the ceiling. The best action for thenurse to take would be which of the following?a.Ask the husband to make an appointment to bring his wife to the clinic for testing.b.Explain to the husband that accurate data will be sought, and ask him to stay with the grandchildrenc.Do not perform the test during the assessment (because it will not be valid) and rely on observationsthe family.

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