A nursing intervention designed to help the client with ...

[Mimi]

A nursing intervention designed to help the client with progressive memory deficit associated with
  dementia function in his or her environment is
 
  a. assisting the client to perform simple tasks by giving step-by-step directions.
  b. avoiding frustrating the client by performing routines associated with activities of
  daily living for the client.
  c. stimulating the client's intellectual functioning by bringing new topics and
  options to the client's attention.
  d. promoting the use of the client's sense of humor by telling jokes or riddles and
  discussing cartoons.

Question 2

Health maintenance and promotion efforts for clients with severe and persistent schizophrenia
  should include education about the importance of regular
 
  a. home safety inspections.
  b. monitoring of self-care ability.
  c. screening for cancer, hypertension, and diabetes.
  d. determination of adequacy of client support system.

[katara]

Answer to Question 1

A
Clients with cognitive impairment should perform all tasks of which they are capable. When simple
directions are given in a step-by-step fashion, the client is better able to process information and
perform simple tasks. Option C is likely to prove frustrating for the client. Option D: Clients with
cognitive deficits may lose their sense of humor and find such discussions meaningless.

Answer to Question 2

C
Individuals with severe mental illness have an increased prevalence of several disorders, including
those mentioned in option C. Clients should be taught the importance of regular visits to a primary
care physician for screening for these illnesses. Option A: Home safety inspections are more often
suggested for clients with physical impairments. Option B: Evaluating self-care ability is usually
accomplished by caregivers and family rather than the client. Option D: Assessment of client
support system is not usually considered part of health promotion and maintenance.