A client diagnosed with a neurocognitive disorder is exhibiting ...

[Zoey63294]

A client diagnosed with a neurocognitive disorder is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing.
 
  Initially, which action should a nurse implement in this situation?
 
  A. Consult the psychologist regarding behavior-modification techniques.
  B. Medicate the client with prn antianxiety medications.
  C. Assess environmental triggers and potential unmet needs.
  D. Anticipate the behavior and restrain when pacing begins.

Question 2

At what time during a 24-hour period should a nurse expect clients with Alzheimer's disease to exhibit more pronounced symptoms?
 
  A. When they first awaken
  B. In the middle of the night
  C. At twilight
  D. After taking medications

[Koolkid240]

Answer to Question 1

ANS: C
The initial nursing action is to assess environmental triggers and potential unmet needs. Due to the cognitive decline experienced in a client diagnosed with neurocognitive disorder, communication skills may be limited. The client may become disoriented and frustrated.

Answer to Question 2

ANS: C
The nurse should determine that clients with Alzheimer's disease exhibit more pronounced symptoms at twilight. Sundowning is the term used to describe the worsening of symptoms in the late afternoon and evening.

[Zoey63294]

Excellent

[sultana.d]

TYSM