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Dif cognitive level application ref p 208 obj 6 top

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DIF:Cognitive Level: ApplicationREF:p. 208OBJ: 6TOP: Alzheimer Disease KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity:Basic Care and Comfort19.Which characteristics are most likely to be present in the patient with dementia?a.Forgets things relatively quickly and is usually unable to learn new thingsb.Can remember new tasks but will forget any previously taught tasksc.Cannot learn new information but will probably remember anything you ask about the pastd.Responds well to reality orientation and needs to have a flexible scheduleANS: AKeeping in mind the following two important concepts when taking care of patients with dementia ishelpful: (1) they usually forget things relatively quickly, and (2) they are usually unable to learn newthings.DIF:Cognitive Level: Comprehension REF:p. 211OBJ: 1 | 4 TOP: DementiaKEY: NursingProcess Step: PlanningMSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
20.A patient is displaying confusion, which began very suddenly and lasted less than 1 week. Whatshould the nurse suspect is present?a.Dementiab.Deliriumc.Symptoms of Huntington diseased.Senile dementiaANS: BDelirium begins abruptly and generally lasts a short period. It usually lasts 1 week and rarely lasts longerthan 1 month.DIF:Cognitive Level: Comprehension REF:p. 203OBJ: 4TOP: Acute ConfusionKEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity:Psychosocial Adaptation21.A nurse is preparing a room for a patient being transferred from the emergency departmentwith a diagnosis of delirium. What should the nurse ensure in regard to the room?a.Brightly litb.Shared by another patientc.Visible from the nurses’ stationd.Dark and quietANS: CThe patient should be in a private room with continual supervision. The room should be quiet anduncluttered, and lighting should be soft and diffuse to avoid shadows.DIF:Cognitive Level: Comprehension REF:p. 211OBJ: 6
TOP: Environmental ConsiderationKEY: Nursing Process Step: Planning MSC: NCLEX: Safe, EffectiveCare Environment: Coordinated Care22.A nurse caring for a patient with dementia notices that the patient stays awake most of thenight. What is the nurse’s most appropriate action?a.Give a prescribed sleeping medication.b.Tell the patient that it is nighttime and that she must go to sleep.c.Check the patient’s record to see whether she is sleeping during the day.d.Put the patient to bed and put the side rails up.ANS: CSleep and awakening are often reversed in patients with dementia. Trying to keep the patient awakeduring the day is helpful.DIF:Cognitive Level: ApplicationREF:p. 210OBJ: 6TOP: Sleep PatternsKEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity:Psychosocial Adaptation23.A nurse is discussing home care of a patient with dementia with the patient’s family. Whatshould the nurse advise the family do to prevent the patient from wandering?

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