Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?
A. Allow the client to choose free-time activities
Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B. Post a written schedule of daily activities.
While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C. Provide a consistent daily routine.
Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D. Use an overhead loudspeaker to announce events
Overhead loudspeakers may cause agitation and confusion in clients with dementia.
This question is an excerpt from Nurse Dive's nursing test bank - Dumund ATI comprehensive med surg proctored exam. Take the full exam now
Full Explanation
Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.
Similar Questions
A nurse is collecting data from a client who was involved in a motor-vehicle crash.Which of the following techniques should the nurse use to test for corneal reflexes?
A. Visualize the red reflex of the eye.
This is a technique used for assessing the fundus and is not related to corneal reflexes.
B. Examine the eye with a penlight.
This is used for general eye examination but does not specifically test corneal reflexes.
C. Lightly touch the eye with a wisp of cotton.
This tests the corneal reflex, where a blink response indicates the reflex is intact.
D. instill drops of dye into the eye.
This is used for assessing corneal abrasions or ulcers but is not a method to test corneal reflexes.
Full Explanation
A. This is a technique used for assessing the fundus and is not related to corneal reflexes.
B. This is used for general eye examination but does not specifically test corneal reflexes.
C. This tests the corneal reflex, where a blink response indicates the reflex is intact.
D. This is used for assessing corneal abrasions or ulcers but is not a method to test corneal reflexes.
A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?
A. Decrease in systolic blood pressure.
While blood pressure changes may occur with aging, it is not a direct cause of dehydration.
B. Increase in percentage of body water
Older adults tend to have a decrease in the percentage of body water, contributing to a higher risk of dehydration.
C. Decrease in kidney function.
Aging can lead to a decrease in renal function, affecting the body's ability to concentrate urine and conserve water.
D. Increase in saliva production.
Saliva production typically decreases with aging and is not a significant factor in dehydration.
Full Explanation
A. While blood pressure changes may occur with aging, it is not a direct cause of dehydration.
B. Older adults tend to have a decrease in the percentage of body water, contributing to a higher risk of dehydration.
C. Aging can lead to a decrease in renal function, affecting the body's ability to concentrate urine and conserve water.
D. Saliva production typically decreases with aging and is not a significant factor in dehydration.
A nurse is reinforcing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins should the nurse include in the teaching as promoting wound healing? (Select all that apply.)
A. Vitamin A
Vitamin A plays a role in the development and maintenance of epithelial tissues, promoting wound healing.
B. Vitamin B12
Vitamin B12 is important for nerve function and red blood cell production but not directly related to wound healing.
C. Vitamin D
Vitamin D is essential for calcium absorption and bone health.
D. Vitamin C
Vitamin C is essential for collagen synthesis, a key component of connective tissue and wound healing.
E. Vitamin E
Full Explanation
A. Vitamin A plays a role in the development and maintenance of epithelial tissues, promoting wound healing.
B. Vitamin B12 is important for nerve function and red blood cell production but not directly related to wound healing.
C. Vitamin D is essential for calcium absorption and bone health.
D. Vitamin C is essential for collagen synthesis, a key component of connective tissue and wound healing.
E. Vitamin E acts as an antioxidant and may contribute to tissue repair.