This topic contains a solution. Click here to go to the answer

Author Question: A client's progress notes read, states he does not want to sit or talk with others; they frighten' ... (Read 16 times)

jenna1

  • Hero Member
  • *****
  • Posts: 568
A client's progress notes read, states he does not want to sit or talk with others; they frighten' him; stays in room alone unless strongly encouraged to come out; no group involvement; at times listens to group from a distance but does
 
  not engage in conversation; some hypervigilance and scanning noted. The nurse decides that the client's behavior is defensive and plans care accordingly. Which strategy should the nurse employ? 1. Help the client gradually accept realistic goals.
  2. Help the client identify his fears regarding participating in the group.
  3. Help the client develop motivation and a plan for group involvement.
  4. Help the client see that there is a possibility for change.

Question 2

A client has dementia of the Alzheimer's type. He is no longer able to walk, and he does not recognize family members, even his wife of 52 years, when they visit him.
 
  He attempts to communicate with agitated behaviors or with occasional incoherent vocalizations. Which stage of the illness is the client in? 1. Late-stage dementia
  2. Early-stage dementia
  3. Middle-stage dementia
  4. Late-stage confusion



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

reversalruiz

  • Sr. Member
  • ****
  • Posts: 327
Answer to Question 1

2
Rationale: This client appears to be using projection. Identifying his fears would help the client understand he is attributing to others hostile motives that do not actually exist. Helping the client accept realistic goals would benefit a client who uses fantasy as a coping defense. Helping the client see possibility for change benefits a client who copes by rationalization. Helping the client develop a plan would benefit a client who uses intellectualization to cope with anxiety.

Answer to Question 2

4
Rationale: Late-stage dementia is characterized by a loss of ambulation abilities, severe memory impairments, and communication that is limited and incoherent. Early-stage dementia does not have the severe memory loss. Clients with middle-stage dementia are still able to ambulate. Late-stage confusion is not a recognized stage of dementia of the Alzheimer's type.




jenna1

  • Member
  • Posts: 568
Reply 2 on: Jul 19, 2018
Gracias!


epscape

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

For a complete list of videos, visit our video library