A nurse is caring for a client with dementia who resides in a ...

[renzo156]

A nurse is caring for a client with dementia who resides in a long-term care facility. The client is adamant about going back home. What measure should the nurse employ?
 
  A) Reassure the client that the facility is safe.
  B) Convince the resident that the facility is his home.
  C) Restrain the client with the use of soft restraints.
  D) Comfort the client that he will be sent home soon.

Question 2

A nurse is caring for a client with delirium. What should the nurse assess for in this client?
 
  A) Complete loss of muscle control
  B) Inability to use objects properly
  C) Inability to eat or swallow
  D) Altered level of consciousness

[xoxo123]

Answer to Question 1

A
Feedback:
The nurse should reassure the client that the facility where the client resides is safe. It is not appropriate to convince the client that the facility itself is his home, because it is not the home he knows. The client should not be restrained, because this may cause the client to become combative or hostile. Comforting the client by stating that he will be sent home soon may not be of any help.

Answer to Question 2

D
Feedback:
The nurse should assess for altered level of consciousness in a client with delirium. The client's level of consciousness can vary from extreme drowsiness to hyperactivity. Complete loss of muscle control (akinesia), inability to eat or swallow (dysphagia), and inability to use objects properly (apraxia) are all seen in clients with dementia, not in clients with delirium.