4410 Exam 4 Questions and All
Correct Answers.
A client with a diagnosis of dementia of the Alzheimer type has been taking donepezil 10
mg/day for 3 months. The client's partner calls the clinic and reports that the client has
increasing restlessness and agitation accompanied by nausea. Which advice would the nurse
give the partner? - Answer Bring the partner to the clinic for testing and a physical
examination.
Which characteristic mental change occurs with delirium and differentiates it from dementia? -
Answer Rapid-onset confusion
Nurses working with clients who have a diagnosis of dementia should adopt a common
approach of care, because these clients have a need to do what? - Answer Have sameness
and consistency in their environment
The primary objective of nursing intervention for clients with dementia, delirium, and other
cognitive disorders is to maintain what? - Answer Safety within the environment
The home health care nurse visits an older adult couple living independently. The wife cares for
the husband, who has mild Alzheimer's Disease. Which intervention would the nurse implement
for them? - Answer Assess the wife for caregiver burden.
Schizophrenia is associated with both positive and negative symptoms. While assessing a client
with schizophrenia, the nurse notes that the client is experiencing positive symptoms; what
does the nurse observe that leads to this conclusion? - Answer Auditory hallucinations
The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God
told me to lie here." What is the best response by the nurse? - Answer "I didn't hear anyone
talking; come with me to your room."
A school nurse is asked to present an educational program on attention deficit-hyperactivity
disorder (ADHD) to the staff of an elementary school. What should the nurse emphasize about
this disorder? - Answer Its major clinical manifestation is easy distractibility.
A client with the diagnosis of schizophrenia and type 1 diabetes has recently been receiving
haloperidol as part of the treatment plan. When the client has a sudden change in health status,
the nurse reviews the client's medical record and performs a physical assessment. What medical
emergency does the nurse conclude that the client is experiencing? - Answer Neuroleptic
malignant syndrome
Correct Answers.
A client with a diagnosis of dementia of the Alzheimer type has been taking donepezil 10
mg/day for 3 months. The client's partner calls the clinic and reports that the client has
increasing restlessness and agitation accompanied by nausea. Which advice would the nurse
give the partner? - Answer Bring the partner to the clinic for testing and a physical
examination.
Which characteristic mental change occurs with delirium and differentiates it from dementia? -
Answer Rapid-onset confusion
Nurses working with clients who have a diagnosis of dementia should adopt a common
approach of care, because these clients have a need to do what? - Answer Have sameness
and consistency in their environment
The primary objective of nursing intervention for clients with dementia, delirium, and other
cognitive disorders is to maintain what? - Answer Safety within the environment
The home health care nurse visits an older adult couple living independently. The wife cares for
the husband, who has mild Alzheimer's Disease. Which intervention would the nurse implement
for them? - Answer Assess the wife for caregiver burden.
Schizophrenia is associated with both positive and negative symptoms. While assessing a client
with schizophrenia, the nurse notes that the client is experiencing positive symptoms; what
does the nurse observe that leads to this conclusion? - Answer Auditory hallucinations
The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God
told me to lie here." What is the best response by the nurse? - Answer "I didn't hear anyone
talking; come with me to your room."
A school nurse is asked to present an educational program on attention deficit-hyperactivity
disorder (ADHD) to the staff of an elementary school. What should the nurse emphasize about
this disorder? - Answer Its major clinical manifestation is easy distractibility.
A client with the diagnosis of schizophrenia and type 1 diabetes has recently been receiving
haloperidol as part of the treatment plan. When the client has a sudden change in health status,
the nurse reviews the client's medical record and performs a physical assessment. What medical
emergency does the nurse conclude that the client is experiencing? - Answer Neuroleptic
malignant syndrome
