NUR 108 Chapter 17

NUR 108 Chapter 17
1. A 75 y/o male client is brought to the clinic by hisson.The son states, "Ever since Mom died,
Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about
everything." The nurse is aware that based on the client's history, the source of confusion is
most likely
A) Dementia
B) Depression of the brain
C) Hypoxia of the brain
D) Delirium from medications
Answer
Depression from the loss of his wife
2. An elderly female client on the mental unit suddenly becomes upset be- cause she can't
remember where she is and she says, " I can think straight." The staff has never witnessed this
behavior in the client, and this type of complaint is not documented in the nursing history. What
is the client most likely experiencing?
A) Hallucinations
B) Dementia
C) Delusions
D) Delirium
Answer
Delirium
3. Vascular dementia is more common in individuals living in
A) The United States
B) Japan
C) France
D) Australia
Answer
Japan
4. A 91 y/o female client with dementia is being seen by the home health nurse. Both she and
her husband, who is 92 y/o, were very active until her dementia became debilitating, Since that
time, the client does not recognize her husband or children, forgets how to eat and dress, and
wanders about the house day and night. Her husband wants to keep her at home to care for her,
but the nurse notices that he is increasingly tired with each visit. What is the nurse's priority
intervention for the nursing diagnosis of caregiver role strain?
A) Discuss strategies to coordinate care and other responsibilities
B) Encourage involvement in support groups
C) Identify resources to include financial, legal, and respite care
D) Stressthe importance ofself-nurturing
Answer
Discussstrategiesto coordinate care and other responsibilities