Which of the following disease processes do not have dementia as ...

[ereecah]

Which of the following disease processes do not have dementia as a major symptom?
 
  a. Alzheimer's disease
  b. Impaired blood flow to the brain
  c. Head injuries
  d. Congestive heart disease

Question 2

Leslie Charleston admits that she has been having trouble staying awake on the night shift after she is found sleeping in the day room. She stated that her babysitter moved out of state and she has not found a new babysitter.
 
  Her husband leaves for work when she gets home, and she is left with a 1-year-old and a 3-year-old until after supper. She is not getting adequate rest and is exhausted. What is your initial response?
  a. Call together all of the night shift nursing assistants, explain Leslie's problem, and suggest that they excuse her from the 0100 and 0300 rounds until she can get some rest
  b. Offer to have your babysitter also watch Leslie's children during the day so she can sleep
  c. Review options with Leslie and give her a written warning. If she is found sleeping again on night shift, she will be terminated
  d. Encourage her to switch to working day shifts

[Meganchabluk]

Answer to Question 1

D
Alzheimer's disease, impaired cerebral circulation, and head trauma all have the potential for associated dementia because of damage to brain tissue. Congestive heart disease relates to the condition of the heart muscle, and unless there is an accompanying decrease in the ability of the heart to get blood to the brain, confusion is not a major symptom. Response D is the correct answer.

Answer to Question 2

C
It is inappropriate for a nursing assistant to sleep during her shift. The facility policy for probation or warnings should be instituted. Response A is inappropriate. The nursing assistants should not have to cover the assignment of another nursing assistant. Responses B and D are possible options, but sharing your babysitter and switching to day shift would not resolve Leslie's need to solve her own personal problems.