The caregiver for an older adult with cognitive impairment is ...

[Jkov05]

The caregiver for an older adult with cognitive impairment is concerned about the individual's seeming disinterest in eating. Which suggestion does the nurse offer based upon a known effect of dementia on a client's nutrition?
 
  a. Focus menu choices on the individual's known favorite foods and beverages.
  b. Provide the individual with easily managed finger foods whenever possible.
  c. Serve food in several small meals each day instead of the traditional 3 big meals.
  d. Establish a routine of when and where the individual will have their meals.

Question 2

A 78-year-old is admitted to the long-term care facility after a hospitalization for pneumonia. The client has a history of a right cerebrovascular accident and dysphagia. When preparing the room for this patient, what equipment is most important in the c
 
  a. A room located within sight of the nursing station
  b. An adjustable height bed that goes low to the floor
  c. A suction machine
  d. Oxygen at bedside

[ergserg]

Answer to Question 1

ANS: D
A major factor predisposing older people with dementia to nutritional inadequacy is the lack of awareness of the need to eat. One of the best strategies for managing poor intake is estab-lishing a routine so the older person does not have to remember times and places for eating. While the other options represent appropriate interventions, they are not based on a known effect of dementia.

Answer to Question 2

ANS: C
Aspiration is the most profound and dangerous problem for patients with dysphagia. A suc-tion machine is essential to have at the bedside or in the dining room. Although it is wise to place a new patient who potentially has mobility issues close to the nursing station where there is closer observation, this is not mandatory. An important intervention is to reduce injuries from falls, which might be a concern with this patient, but there is no indication in the scenario that falls are a problem for this patient. There is no evidence that oxygen is necessary for this patient.

[Jkov05]

Correct answers!

[ergserg]

Great! Please up vote