A nurse is caring for a client who has dementia.
Which of the following actions should the nurse take to promote communication?
A Face the client at eye level when communicating.
B Offer correction of incorrect client statements.
C Reorient the client to date and time with each encounter.
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ATI PN CAPSTONE COMPREHENSIVE
ATI PN CAPSTONE COMPREHENSIVE
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ATI PN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT B LATEST UPDATE 2024
A nurse is caring for a client who has dementia.
Which of the following actions should the nurse take to promote communication? A Face the client at eye level when communicating. B Offer correction of incorrect client statements. C Reorient the client to date and time with each encounter. D Avoid using gestures when communicating with the client.
Correct Answer: A
Face the client at eye level when communicating.
This is because eye contact helps to establish rapport and trust with the client who has dementia and shows respect and attention. Facing the client at eye level also reduces distractions and background noise that might interfere with communication. Choice B is wrong because offering correction of incorrect client statements can increase confusion, frustration, and agitation in the client who has dementia. Instead of correcting the client, the nurse should acknowledge their feelings and try to understand their perspective.
Choice C is wrong because reorienting the client to date and time with each encounter can be stressful and ineffective for the client who has dementia. Reorientation may work in the early stages of dementia,
but as the disease progresses, the client may lose their ability to retain new information and may become more disoriented. Instead of reorienting the client, the nurse should use orienting names or labels whenever possible, such as “Your son, Jack” .
Choice D is wrong because avoiding using gestures when communicating with the client who has dementia can limit the nurse’s ability to convey meaning and emotion. Gestures can help to supplement verbal communication and provide cues for the client who has difficulty understanding words. However,
the nurse should avoid using gestures that might be misinterpreted or threatening to the client, such as pointing or waving .
A nurse is contributing to the plan of care for a client who is postoperative following a below-the-knee
amputation.
Which of the following strategies should the nurse include to help the client progress toward acceptance of this body image alteration? A Suggest that the client wear facility clothing until the prosthesis fitting. B Encourage the client to visit with someone who has had an amputation. C Discourage the client from touching the residual limb for the first week. D Reassure the client that the rehabilitation program is optional.
Correct Answer: B
Encourage the client to visit with someone who has had an amputation. This strategy can help the client cope with the loss of a body part and learn from the experience of others who have gone through a similar situation.
Choice A is wrong because suggesting that the client wear facility clothing until the prosthesis fitting can delay the client’s acceptance of the body image alteration and increase the risk of infection.
Choice C is wrong because discouraging the client from touching the residual limb for the first week can interfere with the healing process and prevent the client from becoming familiar with the new body part.
Choice D is wrong because reassuring the client that the rehabilitation program is optional can discourage the client from participating in physical therapy and hinder the recovery and adaptation.
A nurse in a provider’s office is reinforcing teaching with a client about performing testicular self-
examination.
Which of the following instructions should the nurse include? A “Perform the self-examination every 3 months.” B “Examine your testicles after a warm shower.” C “Palpate both testicles firmly with your fingertips.”
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