Author Question: A client with multiinfarct dementia is striking out with her arms and kicking at people who walk ... (Read 104 times)

AEWBW · **on:** Jul 19, 2018

A client with multiinfarct dementia is striking out with her arms and kicking at people who walk
past in the hall. Intervention by the nurse should begin by

a. asking the client what she needs.
b. saying the client's name to gain contact.
c. gently touching the client's arm.
d. approaching from behind and using a bear hug.

Question 2

Four individuals have given the information about their suicide plans. The plan that should be
assessed as indicating the highest suicide risk is

a. jumping from a 100-foot-high railroad bridge located in a deserted area late at
night.
b. overdosing on aspirin with codeine while the patient's husband is out with friends.
c. turning on the oven and letting gas escape into the apartment during the night.
d. cutting the wrists in the bathroom while the patient's husband reads in the living
room.

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

Answer to Question 1

B
Getting the client's attention is fundamental to intervention. The nurse should make eye contact and
smile while repeating the client's name until the client focuses on the nurse. Once the nurse has the
client's attention, gently touching the client and asking what she needs are appropriate. Striking out
usually signals fear or that the client perceives the environment to be out of control. Option D would
generate greater fear.

Answer to Question 2

A
This is a highly lethal method with little opportunity for rescue. The other options are lower lethality
methods with higher rescue potential.