An elderly client is admitted with worsening dementia. Which of ...

[javeds]

An elderly client is admitted with worsening dementia. Which of the following health problems should the nurse consider as causing this client's dementia?
 
  1. Depression
  2. Alzheimer's disease
  3. Memory impairment
  4. Alcohol withdrawal

Question 2

An interpreter who will assist in communicating with a client from a different culture will not arrive for several hours. The client has many questions and the only person available to assist with translating is the client's adult daughter.
 
  Which of the following situations can occur with using this family member as an interpreter?
  1. The daughter may alter information to protect the client.
  2. The nurse will not have to wait for the interpreter to arrive.
  3. The client's care can begin sooner if the daughter is used to interpret.
  4. The client will understand everything that is occurring with his health.

[cascooper22]

Answer to Question 1

2
Alzheimer's disease accounts for about 50 of all clinical cases of dementia. Memory disturbances are a part of Alzheimer's disease. Depression does not lead to dementia. Worsening dementia is not associated with alcohol withdrawal.

Answer to Question 2

1
One issue with using a family member as an interpreter is that the family member may be protective of the client. The adult daughter may alter information to protect the client. Using the daughter as an interpreter would reduce the amount of time the nurse needs to wait to assess and plan care for the client, but the quality of the information may be compromised. Using the daughter as an interpreter does not guarantee that the client will understand everything that is occurring with his health.