What is the priority need for a patient with late-stage dementia? ...

[Jkov05]

What is the priority need for a patient with late-stage dementia?
 
  a. Promotion of self-care activities
  b. Meaningful verbal communication
  c. Maintenance of nutrition and hydration
  d. Prevention of the patient from wandering

Question 2

Goals and outcomes for an older adult patient with delirium caused by fever and dehydration will focus on:
 
  a. returning to premorbid levels of function
  b. identifying stressors negatively affecting self
  c. demonstrating motor responses to noxious stimuli
  d. exerting control over responses to perceptual distortions

[djpooyouma]

Answer to Question 1

ANS: C
In late-stage dementia, the patient often seems to have forgotten how to eat, chew, and swallow. Nutrition and hydration needs must be met if the patient is to live. The patient is incapable of self-care, ambulation, or verbal communication.

Answer to Question 2

ANS: A
The desired overall goal is that the patient with delirium will return to the level of functioning held before the development of delirium. Demonstrating motor responses to noxious stimuli is an appropriate indicator for a patient whose arousal is compromised. Identifying stressors that negatively affect the self is too nonspecific to be useful for a patient with delirium. Exerting control over responses to perceptual distortions is an unrealistic indicator for the patient with sensorium problems related to delirium.

[Jkov05]

Excellent

[chereeb]

TYSM