This topic contains a solution. Click here to go to the answer

Author Question: An elderly client was well until 12 hours ago, when she reported to her family that during the ... (Read 40 times)

ss2343

  • Hero Member
  • *****
  • Posts: 548
An elderly client was well until 12 hours ago, when she reported to her family that during the evening she saw strange faces peering in her windows and in the middle of the night awakened to see a man standing at the foot of her bed.
 
  She admits to being very frightened. She is presently pacing and somewhat agitated in the ex-amining room. The client's family reports that the client has recently been to the doctor, who made some medication changes, although they are unsure what the changes were. Which nursing intervention should the nurse implement at the time of this client's admission?
  1. Interact with the client on an adult to child level.
  2. Place the client in a safe, nonstimulating environment.
  3. Ask client why she thinks someone would be trying to frighten her.
  4. Explain to the family that the client will be restrained for her own good.

Question 2

A client diagnosed with Alzheimer's disease has a catastrophic reaction during an activity in-volving simultaneous playing of music and working on a craft project. The client starts shouting no, no, no and rushes out of the room. The nurse sho
 
  1. Isolate the client until she is calm, and then direct her back to the activity
  2. Follow the client, reassure her, and redirect her to a quieter activity
  3. Discontinue the activity program since it upsets the clients
  4. Give the client prn antianxiety medication and restrict her activity participation



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sierrahalpin

  • Sr. Member
  • ****
  • Posts: 329
Answer to Question 1

ANS: 2
The safety of a client with delirium is of primary importance. Symptoms of delirium fluctuate and may worsen, especially at night. The greater the client's confusion and disorientation, the greater the possibility for self-harm. Option 1 is demeaning. Option 3 is inappropriate, because delirious clients cannot formulate rational answers. Option 4 is inappropriate. Clients are never restrained unless less restrictive measures have failed.

Answer to Question 2

ANS: 2
These actions will restore safety and self-esteem. 1. Isolation will decrease self-esteem and may increase confusion. 3. It is only one client who is distressed. 4. Behavioral interventions should be attempted prior to administering medication.




ss2343

  • Member
  • Posts: 548
Reply 2 on: Jul 19, 2018
:D TYSM


jamesnevil303

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

For a complete list of videos, visit our video library