A family states that the father, who has moderate-stage dementia, ...

[mrsjacobs44]

A family states that the father, who has moderate-stage dementia, is incontinent related to forgetting
  where the bathroom is located. An intervention the nurse should suggest to the family is to
 
  a. label the bathroom door.
  b. have someone take him to the bathroom hourly.
  c. place the client in disposable diapers.
  d. make sure the client does not eat nonfood items.

Question 2

The unit milieu most likely to have a low incidence of violent behavior is one that has
 
  a. a rigid and authoritarian structure.
  b. little structure and haphazard unit routines.
  c. unpredictable routines and allows clients to vent anger at staff.
  d. predictable routines and high client autonomy.

[Bigfoot1984]

Answer to Question 1

A
The client with moderate Alzheimer's disease has memory loss that begins to interfere with
activities. This client may be able to use environmental cues such as labels on doors to compensate
for memory loss. Option B: Regular toileting may be helpful, but a 2-hour schedule is often more
reasonable. Option C: This intervention is more appropriate as a later stage intervention. It is
probably unnecessary at this point. Option D will be more relevant when the client demonstrates
hyperorality.

Answer to Question 2

D
The milieu that is predictable and permits clients to behave autonomously as much as possible is less
likely to be the scene of violence than units with authoritarian staff, little structure, haphazard
routines, or permissive limits about directing anger at staff. Less structured routines create situations
in which clients feel slighted, ignored, and insecure, all feelings known to underlie anger. Direct
venting of anger at staff often leads to escalation.