During morning care, a nurse asks a patient diagnosed with ...

[folubunmi]

During morning care, a nurse asks a patient diagnosed with dementia, How was your night? The patient replies, It was lovely. I went out to dinner and a movie with my friend. Which term applies to the patient's response?
 
  a. Sundown syndrome
  b. Confabulation
  c. Perseveration
  d. Delirium

Question 2

A nurse counsels the family of a patient diagnosed with Alzheimer's disease who lives at home and wanders at night. Which action is most important for the nurse to recommend to enhance safety?
 
  a. Apply a medical alert bracelet to the patient.
  b. Place locks at the tops of doors.
  c. Discourage daytime napping.
  d. Obtain a bed with side rails.

[Carliemb17]

Answer to Question 1

ANS: B
Confabulation refers to making up of stories or answers to questions by a person who does not remember. It is a defensive tactic to protect self-esteem and prevent others from noticing memory loss. The patient's response was not sundown syndrome. Perseveration refers to repeating a word or phrase over and over. Delirium is not present in this scenario.

Answer to Question 2

ANS: B
Placing door locks at the top of the door makes it more difficult for the patient with dementia to unlock the door because the ability to look up and reach upward is diminished. The patient will try to climb over side rails, increasing the risk for injury and falls. Avoiding daytime naps may improve the patient's sleep pattern but does not assure safety. A medical alert bracelet will be helpful if the patient leaves the home, but it does not prevent wandering or assure the patient's safety.

[folubunmi]

TYSM

[abro1885]

Gracias!