Which nursing actions demonstrate consistency and reliability? ...

[mmm]

Which nursing actions demonstrate consistency and reliability? (Select all that apply.)
 
  a. Providing a schedule of daily activities.
  b. Offering solutions to a patient's problems.
  c. Having the same nurse care for a patient daily.
  d. Setting a time for regular sessions with a patient.
  e. Encouraging a patient to share initial impressions of staff.

Question 2

Which assessment data suggest a person with confusion has secondary dementia or pseudodementia?
 
  a. Symptoms developed over a 2-week period.
  b. Degree of confusion varies from day to day.
  c. Has short-term memory loss; long-term memory is intact.
  d. Depression is the patient's prevailing mood.

[dpost18]

Answer to Question 1

A, C, D
Consistency implies predictability. The correct answers help a patient predict what will happen during each day and develop a greater degree of security and comfort. Encouraging a patient to share initial impressions of staff and giving advice are not related to consistency and would not be considered therapeutic interventions.

Answer to Question 2

A
Dementia develops gradually and insidiously over many months and sometimes years. Significant confusion developing over a period of weeks suggests that the patient does not have primary dementia but instead has either pseudodementia or secondary dementia. The degree of confusion can vary in dementias and pseudodementias, and in early stages of dementia only short-term memory is typically affected (long-term memory deteriorates as the dementia progresses). Depression can present as pseudodementia because of its effect on mental functioning, but it also commonly occurs in the early stage of dementia, so simply having depressed mood does not help distinguish true dementias from pseudo- or secondary dementias.