NUR 325 ATI quiz questions with complete solutions
A community health nurse is providing teaching to the family of
a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
a-Decreased auditory and visual acuity
b-Decreased display of emotions
c-Personality traits that are opposite of original traits
d-Forgetfulness gradually progressing to disorientation Correct
Answers d-Dementia usually appears first as forgetfulness.
Other manifestations may be apparent only upon neurologic
examination or cognitive testing. Loss of functioning progresses
slowly from impaired language skills and difficulty with
ordinary daily activities to severe memory loss and complete
disorientation with withdrawal from social interaction.
-The nurse should instruct the family to expect the client to
demonstrate an exaggeration of previous personality traits.
-The nurse should tell the family to expect the client to be
unable to control emotions and behavior, and be more likely to
exhibit emotional outbursts.
-Dementia is not known to affect auditory and visual senses. The
nurse should instruct the family to expect the client's reasoning
and logic skills to decline.
,A nurse assumes a variety of roles while working with clients.
Which of the following describes the nurse's role of protecting
the client and supporting the client's decisions?
a-Advocate
b-Caregiver
c-Manager
d-Educator Correct Answers a-A client advocate acts to
protect clients' rights and helps clients to speak for themselves.
-As a caregiver, the nurse assists clients with meeting their
physical, psychological and developmental needs.
-As a manager, the nurse works with clients and the
interprofessional health care team to achieve positive care
outcomes.
-As an educator, the nurse works to enhance clients' knowledge
about health promotion and disease prevention activities that
protect clients' health, or allow them to function more
independently.
A nurse at a college campus mental health counseling center is
caring for a student who just failed an exam. The student spends
the session berating the teacher and the course. The nurse should
recognize this behavior as which of the following defense
mechanisms?
a- conversion
, b- projection
c- undoing
d- regression Correct Answers B- the client is refusing to
acknowledge unacceptable personal characteristics and transfers
feelings, thought and traits onto another person.
-conversion as a defense mechanism in which the client
unconsciously expresses emotional conflict via physical
symptoms - such as paralysis or loss of sensory function
-undoing is a defense mechanism in which the client takes an
action to make up for a wrong action or statement
-regression is a defense mechanism in which the client adopts a
more primitive, immature behavior in response to an unwanted
situation
A nurse in a LTC facility is caring for a client who has late stage
Alzheimer's disease. Which of the following actions should the
nurse include in the plan of care?
a- Post a written schedule of daily activities.
b- Use an overhead loudspeaker to announce events.
c- Provide a consistent daily routine.
d-Allow the client to choose free-time activities. Correct
Answers c-A consistent daily routine is appropriate for the care
of a client who has Alzheimer's disease.
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