A client is being evaluated for a recent decline in cognitive ...

[rlane42]

A client is being evaluated for a recent decline in cognitive function. The client's wife asks the nurse to explain the term dementia to her. The nurse bases a response on the knowledge that dementia is which of the following?
 
  A) A primary brain pathology
  B) Secondary to a medical condition
  C) Often reversible if diagnosed and treated quickly
  D) A condition that may or may not affect memory

Question 2

A 35-year-old woman is being treated for delirium after being lost in the woods for several days and becoming severely dehydrated.
 
  At 9 PM, she tells the nurse to get her clothes because she has to get home to her family. Which of the following responses by the nurse is most therapeutic?
  A) It's time to sleep now; you can see your family in the morning.
  B) We don't have your clothes; they are at home. You'll be going home when you recover.
  C) Your family is fine. You need to take care of yourself now.
  D) You're in the hospital. You did not drink for several days, but you're getting better now.

[kaykay69]

Answer to Question 1

Ans: A
Feedback:
Dementia results from primary brain pathology that usually is irreversible, chronic, and progressive. The prognosis depends on whether the cause can be identified and the condition reversed. Memory is progressively impaired.

Answer to Question 2

Ans: D
Feedback:
Staff members can try to direct the client's activity and cognitive focus by reorienting her to the environment with displays of calendars, clocks, and decorations commemorating upcoming holidays. Therapeutic communications concerning the day's activities, repetition of facts concerning why the client is hospitalized, and reassurance that the hallucinations and delusions experienced are part of the transient condition of delirium are helpful.

[rlane42]

Excellent

[chereeb]

TYSM