Author Question: A client tells the nurse he has just finished an important business meeting, when in fact he has ... (Read 15 times)

natalie2426 · **on:** Jul 19, 2018

A client tells the nurse he has just finished an important business meeting, when in fact he has been napping. Upon what rationale should the nurse's response be based?

1. Ignoring memory deficit avoids catastrophic reactions.
2. Delusions should be confronted to clarify thinking.
3. Reality should be reinforced to maximize functioning.
4. Changing the topic provides diversion.

Question 2

Which statement is most likely to be made by a client who is successfully participating in a sub-stance abuse rehabilitation program?

1. I don't think I would change very much about my life if I had it to do over.
2. Life has treated me well over the years. I'm pretty satisfied.
3. I did things my own way and made a pretty bad mess of things.
4. I don't have much to make amends for. I didn't hurt othersonly myself with my behaviors.

zenzy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
In mild to moderate dementia, only recent memory is affected and clients may be capable of be-ing reoriented. Helping the client maintain here-and-now focus will foster maximum use of intel-lectual functions. Ignoring, using confrontation, and changing the topic would not be as useful as gently reorienting.

Answer to Question 2

ANS: 3
Option 3 indicates acceptance of reality and responsibility, but options 1, 2, and 4 are indications of denial.