Author Question: The nurse is educating the family to care for a patient at home with cognitive alterations. Which ... (Read 84 times)

wenmo · **on:** Jul 23, 2018

The nurse is educating the family to care for a patient at home with cognitive alterations. Which statement by the family indicates a need for further education?

a. I should keep the home free of scissors.
b. I should minimize the number of visitors.
c. I should use push-button door locks.
d. 24-hour supervision may become necessary.

Question 2

The nurse is delegating care to an unlicensed assistive personnel (UAP) to a patient who has sensory overload. Which statement by the UAP indicates a need for further orientation?

a. I should keep the noise levels low.
b. I should schedule all the care together.
c. I should keep the room well lit.
d. I should allow the family to visit.

Anton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Use of door locks that require a key may be necessary if the patient wanders. Keep the environment free of hazards such as sharp objects, and minimize distractions. If the patient is not safe to be left alone, 24-hour supervision may be necessary.

Answer to Question 2

ANS: C
To prevent or alleviate overload, the nurse reduces sensory stimuli, dimming unnecessary lights and turning down the sound on alarms if possible. Nursing care is planned so that the patient is not constantly disturbed. Visitation by family provides reality orientation and a soothing, recognizable presence for some patients experiencing overload.