A client with dementia is unable to name ordinary objects. Instead, he describes the function of each item (e.g., 'the thing you cut meat with'). The nurse should assess this as:

Correct Answer: B

Rationale: The correct answer is B: Agnosia. Agnosia is the inability to recognize or identify objects despite intact sensory function. In this case, the client can describe the function of objects but cannot name them, indicating a deficit in object recognition. Apraxia (choice A) is the inability to perform learned movements, aphasia (choice C) is a language impairment, and amnesia (choice D) is memory loss, none of which fully explain the client's presentation.

Correct Answer: C

Rationale: The correct answer is C: Forgetting where he or she lives. In Alzheimer's disease, disorientation to time and place is a common symptom due to memory loss and cognitive decline. Forgetting where one lives directly relates to disorientation, as the individual may not recognize their home or surroundings. Choice A is related to sequencing and executive function, not specific to time and place. Choice B is more associated with language and communication difficulties. Choice D relates to paranoia or mistrust, not specifically related to disorientation to time and place. In summary, the correct answer directly reflects the symptom of disorientation in Alzheimer's disease, while the other choices are related to different cognitive functions.

Correct Answer: B

Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being. Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.

Correct Answer: A

Rationale: The correct answer is A because emphasizing that the battering pattern usually remains the same in frequency highlights the consistent and recurring nature of the behavior. This implies that the pattern is predictable and stable. Choice B is incorrect because it contradicts the idea of consistency in the battering pattern. Choice C is incorrect because it suggests unpredictability, which goes against the notion of the pattern remaining the same. Choice D is incorrect because option A aligns with the concept of the battering pattern being consistent in frequency and severity.

Correct Answer: B

Rationale: The correct answer is B: Paraphasia. Paraphasia is a language disturbance characterized by the substitution of one word for another, leading to incorrect or nonsensical speech. In the case of the client with dementia unable to name ordinary objects but describing them, such as 'the thing you cut meat with,' this behavior aligns with paraphasia. Aphasia (choice A) refers to a complete loss or impairment of language function, which is not the case here. Apraxia (choice C) involves the inability to perform purposeful movements, not language deficits. Therefore, the client's behavior is best assessed as paraphasia due to the characteristic word substitutions and descriptions given.