PSYCHIATRIC & MENTAL HEALTH NURSING
- SHIELA VIDEBECK TEST BANK
When teaching a client about memantine (Namenda), the nurse will include
which information?
a. Lab tests to monitor the client's liver function are needed.
b. Namenda can cause elevated blood pressure.
c. Taking Namenda will improve the client's cognitive functioning.
d. The most common side effect of Namenda is gastrointestinal bleeding. -
ANSWERS-b. Namenda can cause elevated blood pressure.
Which statement by the caregiver of a client newly diagnosed with dementia
requires further intervention by the nurse?
a. "I will remind Mother of things she has forgotten."
b. "I will keep Mother busy with favorite activities as long as she can participate."
c. "I will try to find new and different things to do every day."
d. "I will encourage Mother to talk about her friends and family." - ANSWERS-c. "I
will try to find new and different things to do every day."
A client with delirium is attempting to remove the IV tubing from his arm, saying
to the nurse, "Get off me! Go away!" What is the client experiencing?
a. Delusions
b. Hallucinations
,c. Illusions
d. Disorientation - ANSWERS-b. Hallucinations
Which statement indicates the caregiver's accurate knowledge about the needs of
a parent at the onset of the moderate stage of dementia?
a. "I need to give my parent a bath at the same time every day."
b. "I need to postpone any vacations for 5 years."
c. "I need to spend time with my parent doing things we both enjoy."
d. "I need to stay with my parent 24 hours a day for supervision." - ANSWERS-c. "I
need to spend time with my parent doing things we both enjoy."
Which of the following interventions is most appropriate in helping a client with
early-stage dementia complete ADLs?
a. Allow enough time for the client to complete ADLs as independently as
possible.
b. Provide the client with a written list of all the steps needed to complete ADLs.
c. Plan to provide step-by-step prompting to complete the ADLs.
d. Tell the client to finish ADLs before breakfast or the nursing assistant will do
them. - ANSWERS-a. Allow enough time for the client to complete ADLs as
independently as possible.
A client with late moderate-stage dementia has been admitted to a long-term
care facility. Which nursing intervention will help the client maintain optimal
cognitive function?
, a. Discuss pictures of children and grandchildren with the client.
b. Do word games or crossword puzzles with the client.
c. Provide the client with a written list of daily activities.
d. Watch and discuss the evening news with the client. - ANSWERS-a. Discuss
pictures of children and grandchildren with the client.
SATA: When assessing a client with delirium, the nurse will expect to see
a. aphasia.
b. confusion.
c. impaired level of consciousness.
d. long-term memory impairment.
e. mood fluctuations.
f. rapid onset of symptoms. - ANSWERS-b c f
SATA: Interventions for clients with dementia that follow the psychosocial model
of care include
a. asking the clients about the places where they were born.
b. correcting the any misperceptions or delusion.
c. finding activities that engage the clients' attention.
d. introducing new topics of discussion at dinner.
e. processing behavioral problems to improve coping skills.
f. providing unrelated distractions when clients are agitated. - ANSWERS-a f
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