Author Question: A care aide has rung the call light for assistance while providing a client's twice-weekly bath ... (Read 32 times)

roselinechinyere27m · **on:** Jul 19, 2018

A care aide has rung the call light for assistance while providing a client's twice-weekly bath because the client became agitated and aggressive while being undressed.

Knowing that the client has a diagnosis of dementia of Alzheimer's type (DAT) and is prone to agitation, which of the following measures may help in preventing this client's agitation?

A) Decreasing the frequency of the client's baths from two times to one time per week
B) Reminding the client multiple times that he or she will be soon having a bath
C) Reinforcing the facility's zero-tolerance policy for aggressive behavior
D) Providing all of the client's daily medications early on the day of a scheduled bath

Question 2

An 82-year-old woman with a diagnosis of vascular dementia has been admitted to the geriatric psychiatry unit of the hospital. In planning the care of this client, which of the following outcomes should the nurse prioritize?

A) The client will demonstrate increased feelings of self-worth.
B) The client will identify life areas that require alterations due to illness.
C) The client will demonstrate decreased agitation.
D) The client will be free of injury.

lou · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Adequately preparing a client for a task can sometimes prevent episodes of agitation or aggression. Reminding a cognitively impaired client about policies is unlikely to be effective, and decreasing the frequency of baths will not necessarily prevent agitation. It is not normally appropriate to change a client's medication administration schedule in light of activities such as bathing.

Answer to Question 2

Ans: D
Control of agitation and promotion of self-worth are important outcomes, but safety is a priority concern. A client whose diagnosis necessitates hospitalization may or may not be capable of identifying or making changes in life routines.