Author Question: A client with Alzheimer's disease has been determined to have a dressing/grooming self-care deficit. ... (Read 65 times)

CharlieWard · **on:** Jul 19, 2018

A client with Alzheimer's disease has been determined to have a dressing/grooming self-care deficit.

Appropriate interventions to include in the client's nursing care plan are (more than one answer may
be correct)
A. to provide clothing with elastic and hook-and-loop material closures.
B. to label clothing with the client's name and name of the item.
C. to provide necessary items and expect the client to proceed independently.
D. to administer anxiolytic medication before bathing and dressing.
E. if the client is resistive, use distraction; then try again after a short interval.
F. if the client moves too slowly to accomplish the task, the staff should perform it.

Question 2

Which therapeutic intervention could the nurse generalist use to help a child gain insight into
feelings and learn new ways to cope with difficult situations?

a. Bibliotherapy
b. Family therapy
c. Psychodrama
d. Insight-oriented individual therapy

duke02 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, B, E
Rationale: Option A facilitates client independence. Option B maintains client identity and dignity
(provides information if the client has agnosia). Option E: Client moods are often labile. The client
may be willing to cooperate given a later opportunity. Option C is inappropriate. Be prepared to
coach by giving step-by-step directions for each task as it occurs. Option D is inappropriate. This
measure would result in unnecessary overmedication. Option F: Clients should be allowed to
perform all tasks within their capabilities.

Answer to Question 2

A
Bibliotherapy involves reading stories about children in situations similar to the client's. Books can
help children deal with divorce, death, fears, and separation. The other modalities are reserved for
advanced practice nurses and other therapists with additional training.