A client was admitted with multi-infarct dementia. Nursing ...

[Frost2351]

A client was admitted with multi-infarct dementia. Nursing assessment and interview of the client would include what?
 
  A) Electroencephalogra m, X-rays, blood chemistries, and skull series
  B) Intellectual ability, health history, and self-care ability
  C) Early parentchild conflict and relational patterns
  D) Assessment of deep tendon reflexes and muscle strength

Question 2

A client who has had a right-sided stroke is being very aggressive toward the caregiver. The nurse would suspect CNS pathology in which of the following lobes of the brain?
 
  A) Parietal
  B) Frontal
  C) Temporal
  D) Occipital

[ryhom]

Answer to Question 1

Ans: B
A comprehensive nursing assessment should include obtaining the premorbid intellectual ability, health history, and self-care abilities of the client. The medical assessments, which are important, are not as critical to nursing assessment as the actions in the correct answer. Exploring early parentchild conflict and relational patterns would not be helpful with dementive process.

Answer to Question 2

Ans: B
Pathology in the frontal lobe causes lack of attention, loss of emotional control, rage, or violent behavior. Damage to the parietal lobe causes neglect or inattention to left half of space. Temporal lobe pathology causes inability to store or retrieve information. Occipital lobe damage causes visual disturbances such as agnosia.