A patient with moderate dementia has been admitted to a long-term ...

[codyclark]

A patient with moderate dementia has been admitted to a long-term care facility. To address the patient's need to be engaged in purposeful activity, the nurse arranges for the patient to
 
  a. fold some of the unit's freshly washed washcloths and towels each afternoon.
  b. help decide what television programs will be on in the dayroom.
  c. be responsible for changing the day ca-lendar each morning.
  d. remind other diabetic patients when it is time for their finger sticks.

Question 2

The nursing faculty explains to students the definition of homebound. Which is the best explanation of this situation?
 
  a. A person uses a wheelchair for all mobil-ity.
  b. A person desires services provided at home.
  c. Leaving home requires great effort.
  d. No local agency is available to provide service.

[Kingjoffery]

Answer to Question 1

A
A meaningful activity has a purpose. The purpose may be to exercise arthritic joints or simply to have fun, but the activity should not be aimless or inappropriate for the patient's ability. With dementia, the other activities are not appropriate and could lead to frustration.

Answer to Question 2

C
Homebound implies that a person could leave the home for a legitimate medical reason, but he or she must exert a great deal of effort to do so. Being in a wheelchair does not in itself cause a person to be homebound, nor does requesting home services or not having another agency to provide services elsewhere.