Example Care Plan_Dementia

The nurse is caring for an older adult client who has a urinary tract infection. The client has mild dementia, is confused but easily reoriented, and continues to attempt to get out of bed. Which of the following is an appropriate safety measure for this client? Select all that apply.

A bed alarm on the most sensitive setting

5 mg IV haloperidol

Bilateral soft wrist restraints

A sitter

Non-skid footwear

Question 3 of 7

A nurse is caring for a client who has dementia and is in the hospital. Which of the following situations would most likely result in a client suffering bed entrapment? Select all that apply.

The client gets regular respiratory therapy treatments

The client has difficulty using the call light

The client needs assistance with toileting

The client can't find anything to watch on TV

The client cannot move from the bed to the wheelchair

Question 4 of 7

A nurse is caring for an older adult who is experiencing wasting and malnutrition as a result of dementia. The client’s daughter asks the nurse about giving her mother a nutritional shake. Which response from the nurse is accurate?

You can supplement your mother's food intake with a nutritional shake to add after a meal

You should substitute your mother's meals with a nutritional shake instead

You should not use nutritional shakes; they do not provide enough calories or nutrients

Nutritional shakes are typically only used for weight loss, which does not apply in this situation

Question 5 of 7

A nurse is caring for a client who has dementia as a result of Alzheimer’s disease. The provider writes an order for bilateral wrist bands for restraints PRN. Which action of the nurse is most appropriate regarding this order?

Keep the restraints at the bedside to have quick access

Put the restraints on the client right away

Monitor the client for one hour after restraint application

Contact the provider about the order

Question 6 of 7

A nurse is providing home care to a client with dementia. The nurse knows that which of the following is the primary goal for the client?

Transportation to appointments

Maintain safety

Bathing

Medication management

Question 7 of 7

The nurse is interviewing a client going to the operating room for a total hip replacement. During the interview, the client is unable to state their name or birthdate. The client takes medication for dementia. The nurse would expect which of the following when obtaining the informed consent? Select all that apply.

The client is not considered “competent” which is necessary with informed consent

The client signed their name to the written consent form

The client’s legal surrogate has signed their name to the written consent form

The client and their surrogate decision-maker signed their names to the consent form

The client’s legal surrogate decision-maker is aware of the information related to the procedure

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Dementia and Alzheimers

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7 Dementia and Alzheimers NCLEX Questions

Question 1 of 7

A client with dementia has forgotten how to perform basic tasks. The nurse knows that which theory is demonstrated by the loss of these abilities?

Self-care theory

Health promotion theory

Environmental theory

Health belief model

Question 2 of 7

You should substitute your mother's meals with a nutritional shake instead

You can supplement your mother's food intake with a nutritional shake to add after a meal

You should not use nutritional shakes; they do not provide enough calories or nutrients

Nutritional shakes are typically only used for weight loss, which does not apply in this situation

Question 3 of 7

The nurse is caring for a client with Alzheimer’s disease. The client takes galantamine as a new medication. Which of the following element of the client’s history would alert the nurse to discuss this with the provider?

Peptic ulcer disease, because this medication enhances cholinergic effects

Benzodiazepine use, as this medication has addictive properties and a high-risk profile

COPD, because this medication causes bronchoconstriction

Multiple bowel obstructions, because this med causes constipation

Question 4 of 7

The client signed their name to the written consent form

The client’s legal surrogate has signed their name to the written consent form

The client and their surrogate decision-maker signed their names to the consent form

The client’s legal surrogate decision-maker is aware of the information related to the procedure

The client is not considered “competent” which is necessary with informed consent

Question 5 of 7

A nurse is assisting a client with dementia to take a shower. Which interventions would be most appropriate to maximize safety? Select all that apply.

Use simple phrases to inform client with each step

Assure client has a role in the bathing process

Set the water heater temperature at 126 F

Rush the client to prevent fatigue and confusion

Give the client choices if safely feasible

Question 6 of 7

A nurse is providing home care to a client with dementia. The nurse knows that which of the following is the primary goal for the client?

Bathing

Medication management

Transportation to appointments

Maintain safety

Question 7 of 7

Which medical condition has been shown to cause dementia in some adults?

Varicella

Tuberculosis

Lyme disease

Trichomonas

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Score an 80% or better on these Dementia and Alzheimers questions to master this lesson.

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Example Care Plan_Dementia

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

What email should we send your results to?

300,000+ Students Use These Cheatsheets To Pass NCLEX

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