Author Question: A nurse delegates care for a client with early-stage Alzheimer's disease to an unlicensed assistive ... (Read 103 times)

ashley · **on:** Jun 25, 2018

A nurse delegates care for a client with early-stage Alzheimer's disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client's care?

a. If she is confused, play along and pretend that everything is okay.
b. Remove the clock from her room so that she doesn't get confused.
c. Reorient the client to the day, time, and environment with each contact.
d. Use validation therapy to recognize and acknowledge the client's concerns.

Question 2

A nurse is teaching a client with chronic migraine headaches. Which statement related to complementary therapy should the nurse include in this client's teaching?

a. Place a warm compress on your forehead at the onset of the headache.
b. Wear dark sunglasses when you are in brightly lit spaces.
c. Lie down in a darkened room when you experience a headache.
d. Set your alarm to ensure you do not sleep longer than 6 hours at one time.

ktidd · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Clients who have early-stage Alzheimer's disease should be reoriented frequently to person, place, and time. The UAP should reorient the client and not encourage the client's delusions. The room should have a clock and white board with the current date written on it. Validation therapy is used with late-stage Alzheimer's disease.

Answer to Question 2

ANS: C
At the onset of a migraine attack, the client may be able to alleviate pain by lying down and darkening the room. He or she may want both eyes covered and a cool cloth on the forehead. If the client falls asleep, he or she should remain undisturbed until awakening. The other options are not recognized therapies for migraines.