Author Question: Following several months of increasing forgetfulness, Mr. Sparrow was diagnosed with dementia. ... (Read 103 times)

Alygatorr01285 · **on:** Jul 19, 2018

Following several months of increasing forgetfulness, Mr. Sparrow was diagnosed with dementia.

During the community health nurse's current visit to Mr. and Mrs. Sparrow's home, Mr. Sparrow makes an inappropriate sexual remark to the nurse. His wife is intensely embarrassed, stating that he has always been a polite a
should be aware of which of the following facts when interpreting Mr. Sparrow's statement?
A) There is a need to set firm boundaries with clients who have cognitive disorders.
B) The client is exhibiting aggression as a result of his disease process.
C) Different clients respond to the stress of being diagnosed with a cognitive disorder in different ways.
D) This behavior is likely caused by alterations in reasoning as a result of brain changes.

Question 2

A 73-year-old woman has been providing for all of her husband's needs since he was first diagnosed with Alzheimer's disease 2 years ago.

The woman considers herself to be resourceful and resilient and is proud of the fact that her husband has been able to remain in his home for so long. Today, however, the woman describes herself to the nurse as being drained dry and near the end of my rope. The nurse should recognize the possibility of what nursing diagnosis?
A) Ineffective Coping related to client's changes in health as evidenced by the wife's statement that she is near the end of my rope
B) Caregiver Role Strain related to caregiving responsibilities as evidenced by the wife's statement that she is near the end of my rope
C) Fatigue related to caregiving responsibilities as evidenced by the wife's statement that she is drained dry
D) Risk for Anxiety related to client's prognosis as evidenced by the client's wife's statement that she is near the end of my rope

abro1885 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
Feedback:
As a result of dementia, clients may begin to exhibit uncharacteristic disregard for social conduct. For example, they may disrobe in public, exhibit inappropriate sexual behavior, suddenly use profanity, and strike out at others when frustrated. Families find such changes alarming and distressing. Sexual comments are not necessarily synonymous with aggression.

Answer to Question 2

Ans: B
Feedback:
The combination of the wife's circumstances, responsibilities, and statements are suggestive of the fact that she is experiencing caregiver role strain. This does not preclude fatigue, anxiety, or ineffective coping, but none of these is as clearly indicated as caregiver role strain.