A 72-year-old client has Alzheimer's dementia. Her husband of 50 ...

[karen]

A 72-year-old client has Alzheimer's dementia. Her husband of 50 years is no longer able to care safely for her at home and has her placed in a long-term care facility.
 
  When her husband visits, she smiles and talks about their many travels around the world. Intrigued, the nurse asks the husband to describe his travels. The husband laughs and says, We've never been out of the states. The client's tales are an example of: 1. Delirium.
  2. Apraxia.
  3. Aphasia.
  4. Confabulation.

Question 2

A nurse is working with a student on the acute care psychiatric unit. The student asks the nurse why it is important to assess clients' values when there are many other more important issues to attend.
 
  Which of the following replies should the nurse emphasize? 1. Health behaviors are strongly influenced by personal values.
  2. Values form the scientific rationale for health behaviors.
  3. Values regarding health are common across many cultures.
  4. Ensure that clients' values are congruent with nurses' values.

[smrerig]

Answer to Question 1

4
Rationale: Confabulation is the use of fantasy to fill in the memory gaps that they are unable to remember. This is an ego-protective mechanism. Difficulty in finding words and naming objects may suggest expressive aphasia, while difficulty grasping complex concepts may suggest receptive aphasia. Delirium is a disturbance of consciousness accompanied by a change in cognition unaccounted for by a preexisting or evolving dementia. Apraxia is the loss of ability to perform formerly known skills.

Answer to Question 2

1
Rationale: Personal values are shaped by culture. Perceptions of health, disease, prevention, and treatment may vary among different cultural groups. Acknowledging divergent values can be a significant first step toward improving one's cultural competence and sensitivity to differences. Health behaviors are multi-determined actions. The client's values do not have to be congruent with the nurse's values. Health values vary across cultures.

[karen]

Gracias!

[gcook]

TYSM