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D. fillsin memory gaps with fantasy.
Mrs. Mendoza is a 75-year-old client who has dementia of the Alzheimer's type and confabulates.
The nurse understands that this client:
A. Denies confusion by being jovial.
B. Pretends to be someone else.
C. Rationalizes various behaviors.
D. fillsin memory gaps with fantasy.
B. Recalling past events
Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the
Alzheimer's type?
A. Remembering the daily schedule
B. Recalling past events
C. Coping the anxiety
D. Solving problems of daily living
B. "The changes in his behavior came on so quickly! I wasn't sure what was happening."
82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical unit for
diagnostic confirmation and management of probable delirium. Which statement by the client's
daughter best supports the diagnosis?
A. "Maybe it's just caused by aging. This usually happens by age 82."
B. "The changes in his behavior came on so quickly! I wasn't sure what was happening."
C. "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast."
D. "Dad has always been so independent. He's lived alone for years since mom died."
C. Remain calm and talk quietly to the client.
Mrs. Jordan is an elderly client diagnosed with Alzheimer's disease. She becomes agitated and
combative when a nurse approaches to help with morning care. The most appropriate nursing
intervention in this situation would be to:
D. Short words and simple sentences
Which of the following will Nurse Dory use when communicating with a client who has cognitive
impairment.
A. Complete explanations with multiple details
B. Pictures or gestures instead of words
C. Stimulating words and phrases to capture the client's attention
D. Loss of cognitive abilities, impairing ability to perform activities of daily living
D
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