Author Question: The nurse notes that one therapy assigned for a client today is reminiscence therapy. The nurse ... (Read 65 times)

TVarnum · **on:** Jul 22, 2018

The nurse notes that one therapy assigned for a client today is reminiscence therapy. The nurse suspects that the client has which of the following diagnoses?

1. Auditory and visual hallucinations
2. Schizophrenia
3. Manic-depression
4. Alzheimer's disease

Question 2

A client with a spinal cord injury was given methylprednisolone in the emergency department. The nurse realizes this medication was provided in order to:

1. Cause an increase in blood glucose level.
2. Improve the ability to be adequately ventilated.
3. Prevent cord damage from ischemia and edema.
4. Improve the level of consciousness.

miss_1456@hotmail.com · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Alzheimer's disease

Rationale:
Reminiscence is a guided recollection and is one of the most popular psychosocial interventions for people with dementia because it encourages clients to remember the past and share their memories with family, peers, or staff. Reminiscence therapy is not a priority therapy for clients with schizophrenia, manic-depression, or hallucinations.

Answer to Question 2

3. Prevent cord damage from ischemia and edema.

Rationale:
High-dose steroid protocol using methylprednisolone must be implemented within 8 hours of the injury to improve neurologic recovery. Clinical research indicates that the use of this adrenocorticosteroi d is effective in preventing secondary spinal cord damage from edema and ischemia. This medication may cause hyperglycemia if the client also has a diagnosis of diabetes. This medication is not provided to improve respirations or improve the level of consciousness.