Author Question: What intervention would the nurse implement when an older male diagnosed with dementia is observed ... (Read 56 times)

ishan · **on:** Jul 11, 2018

What intervention would the nurse implement when an older male diagnosed with dementia is observed masturbating in the unit's dayroom?

ba. Removing the resident from the day room and completing an assessment of his behavior.
b. Covering the resident's lap with a blanket and leaving him in the day room.
c. Counseling the resident by telling him that his behavior is inappropriate.
d. Distracting the resident so that he will stop the behavior.

Question 2

The major difference between a transient ischemic attack (TIA) and a cerebrovascular accident (CVA) is that:

a. TIA symptoms begin to resolve within minutes and are completely resolved within 24 hours.
b. TIA symptoms always precede an ischemic CVA.
c. TIA symptoms begin to resolve within minutes but are not resolved for up to 72 hours.
d. TIA symptoms do not usually involve motor functions.

mk6555 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
When sexually inappropriate behavior occurs, it should be assessed, like any other behavior, as to cause, precipitating factors, and response to interventions. It is appropriate to remove the resident from the day room because the behavior may be distressing to staff and other residents. Covering the resident with a blanket and leaving him in the day room does not ad-dress the cause of the behavior, and it might be distressing for other residents and staff. The resident has dementia and is not capable of altering his behavior based on the information that it is inappropriate. Distracting the resident will only temporarily interrupt the behavior.

Answer to Question 2

ANS: A
TIA symptoms begin to resolve immediately and are completely resolved within 24 hours. Most CVAs are not preceded by TIA symptoms. Symptoms are totally resolved within 24 hours. TIA symptoms can involve the same areas as an ischemic stroke, depending on what area of the brain is impacted by the ischemia.