Author Question: When the daughter of a client diagnosed with moderate Alzheimer's disease (AD) asks about the ... (Read 62 times)

joe · **on:** Jul 11, 2018

When the daughter of a client diagnosed with moderate Alzheimer's disease (AD) asks about the possible benefits of enrolling her mother in art classes, the nurse's response is based on the knowledge that:

a. creative activities are not limited to cogni-tively intact older adults; even individuals with dementia can benefit from creative activities.
b. individuals with dementia who have ra-tional language skills can benefit from creative activities.
c. cognitively impaired elders cannot benefit from creative activities due to altered brain processes.
d. cognitively impaired elders are usually too agitated to participate in creative arts.

Question 2

A 77-year-old client recently lost her husband to a chronic progressive neurological disease. She has a history of osteoarthritis and hypertension and was newly diagnosed with metastatic gastric cancer.

She sold her home and moved to another state to be closer to her children, but she misses her many close friends. What makes her at risk for spiritual distress? (Select all that apply.)
a. Metastatic cancer
b. Age (77)
c. Moving far away from other family and friends
d. Loss of a spouse
e. Chronic conditions: hypertension and ar-thritis

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

Answer to Question 1

ANS: A
Creative arts offer great value to individuals with dementia; the arts offer opportunities for indi-viduals to express themselves and their vision of the world. Language skills are not required for individuals with dementia to participate in some of the arts. Individuals with dementia can bene-fit from creative activities. Not all individuals with dementia are agitated.

Answer to Question 2

ANS: A, C, D
Conditions that most predispose an individual to spiritual distress include those that are life threatening, such as a terminal illness, loss of interpersonal support, and those that affect the abil-ity to participate in spiritual rituals. Metastatic cancer is a life-threatening illness, and moving to another state and the loss of a husband result in the loss of interpersonal support. Spiritual dis-tress is not directly associated with a specific age; that is, it is not true that the older a person is, the more spiritual distress she feels. Chronic conditions are usually not associated with spiritual distress unless they affect the ability to participate in spiritual rituals, which is not indicated in this scenario.