lOMoARcPSD|3013804
Chapter 39 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 39: Concepts of Care for Patients With Problems of the Central Nervous
System: The Brain
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching the daughter of a client who has middle-stage Alzheimer disease. The
daughter asks, “Will the sertraline my mother is taking improve her dementia?” How would
the nurse respond about the purpose of the drug?
a.
“It will allow your mother to live independently for several more years.”
b.
“It is used to halt the advancement of Alzheimer disease but will not cure it.”
c.
“It will not improve her dementia but can help control emotional responses.”
d.
“It is used to improve short-term memory but will not improve problem solving.”
ANS: C
Drug therapy is not effective for treating dementia or halting the advancement of Alzheimer
disease. However, certain psychoactive drugs may help suppress emotional disturbances and
manage depression, psychoses, or anxiety. Drug therapy will not allow the client with
middle-stage dementia to safely live independently.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Alzheimer disease, Drug therapy
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A client with early-stage Alzheimer disease is admitted to the hospital with chest pain. Which
nursing action is most appropr i at e to m a n ag e th i s c lient’s dementia?
GR A D E S L A B . CO M
a.
Provide animal-assisted therapy as needed.
b.
Ensure a structured and consistent environment.
c.
Assist the client with activities of daily living (ADLs).
d.
Use validation therapy when communicating with the client.
ANS: B
The client who has early Alzheimer disease (AD) does not require assistance with ADLs or
validation therapy. While animal-assisted therapy may be helpful, some health care agencies
do not allow this intervention. Therefore, the most appropriate action is to provide a structured
and consistent environment while the client is hospitalized to prevent worsening of the client’s
symptoms.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Alzheimer disease, Nursing Interventions
MSC: Client Needs Category: Psychosocial Integrity
3. The nurse observes a client with late-stage Alzheimer disease eat breakfast. Afterward the
client states, “I am hungry and want breakfast.” What is the nurse’s best response?
a.
“I see you are still hungry. I will get you some toast.”
b.
“You ate your breakfast 30 minutes ago.”
c.
“It appears you are confused this morning.”
d.
“Your family will be here soon. Let’s get you dressed.”
ANS: A
Chapter 39 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 39: Concepts of Care for Patients With Problems of the Central Nervous
System: The Brain
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching the daughter of a client who has middle-stage Alzheimer disease. The
daughter asks, “Will the sertraline my mother is taking improve her dementia?” How would
the nurse respond about the purpose of the drug?
a.
“It will allow your mother to live independently for several more years.”
b.
“It is used to halt the advancement of Alzheimer disease but will not cure it.”
c.
“It will not improve her dementia but can help control emotional responses.”
d.
“It is used to improve short-term memory but will not improve problem solving.”
ANS: C
Drug therapy is not effective for treating dementia or halting the advancement of Alzheimer
disease. However, certain psychoactive drugs may help suppress emotional disturbances and
manage depression, psychoses, or anxiety. Drug therapy will not allow the client with
middle-stage dementia to safely live independently.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Alzheimer disease, Drug therapy
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A client with early-stage Alzheimer disease is admitted to the hospital with chest pain. Which
nursing action is most appropr i at e to m a n ag e th i s c lient’s dementia?
GR A D E S L A B . CO M
a.
Provide animal-assisted therapy as needed.
b.
Ensure a structured and consistent environment.
c.
Assist the client with activities of daily living (ADLs).
d.
Use validation therapy when communicating with the client.
ANS: B
The client who has early Alzheimer disease (AD) does not require assistance with ADLs or
validation therapy. While animal-assisted therapy may be helpful, some health care agencies
do not allow this intervention. Therefore, the most appropriate action is to provide a structured
and consistent environment while the client is hospitalized to prevent worsening of the client’s
symptoms.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning and Implementation
KEY: Alzheimer disease, Nursing Interventions
MSC: Client Needs Category: Psychosocial Integrity
3. The nurse observes a client with late-stage Alzheimer disease eat breakfast. Afterward the
client states, “I am hungry and want breakfast.” What is the nurse’s best response?
a.
“I see you are still hungry. I will get you some toast.”
b.
“You ate your breakfast 30 minutes ago.”
c.
“It appears you are confused this morning.”
d.
“Your family will be here soon. Let’s get you dressed.”
ANS: A
