Author Question: The environment of a patient with dementia includes photographs of her family, soft music, and low ... (Read 17 times)

geoffrey · **on:** Jul 11, 2018

The environment of a patient with dementia includes photographs of her family, soft music, and low lighting. She wears her own jewelrynecklaces and rings she had received as gifts. Unused electrical outlets are covered.

Once a day, she exercises with a group. What might a nurse suggest is missing from this picture? A) Nutritional supplements
B) A walker
C) An ID bracelet
D) A commode chair

Question 2

During a home visit the nurse learns that an older patient with macular degeneration restricts the intake of fluids after 6 pm. What would the nurse suspect as a reason for the patient to limit fluids after this time?

A) A fear of falling at night
B) A lack of thirst perception
C) Lack of non-skid footwear
D) Problems differentiating shades of the same color

jazzlynnnnn · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
The patient should be wearing an ID bracelet in addition to her necklaces and rings. The patient is ambulatory (she exercises) and so does not require a walker or a commode chair. Supplements may not be needed by this patient.

Answer to Question 2

A
Feedback:
The patient's poor vision due to macular degeneration and age-related urinary changes can contribute to frequent bathroom trips. The nurse could easily correlate the patient's vision problems with a desire to minimize trips to bathroom and reduce the potential of falling at night. The patient has been avoiding fluids after 6 pm so it is unlikely that the patient has a lack of thirst perception. A lack of non-skid footwear and problems differentiating shades of the same color would not contribute to the patient's plan to limit fluids after 6 pm.