Assessment of an older adult client reveals that the client is receiving psychiatric medications. The client states, 'I get dizzy periodically and have trouble walking.' Which of the following should the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Compare the client's baseline blood pressure with the client's current blood pressure. This is the first step to assess for orthostatic hypotension which can be a side effect of psychiatric medications. It is important to rule out any potential medication-induced hypotension before making any changes to the client's medication regimen. Choice B is incorrect because abruptly stopping psychiatric medications can lead to withdrawal symptoms and exacerbate the client's condition. Choice C is incorrect because while assessing coping skills and stress levels is important, addressing the client's current symptoms of dizziness and difficulty walking takes precedence. Choice D is incorrect as using an alcohol-based mouthwash is unrelated to the client's symptoms and may not address the underlying cause of the client's issues.

Correct Answer: A

Rationale: The correct answer is A because placing a daily calendar in the kitchen helps individuals with Alzheimer's disease maintain a sense of time and routine. This aids in reducing confusion and anxiety. Choice B is incorrect as it does not directly address the cognitive needs of the individual. Choice C is incorrect as it may not be feasible or necessary for everyone. Choice D is incorrect as maintaining a consistent routine is beneficial for individuals with Alzheimer's disease to reduce disorientation.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates active listening and empathy. By acknowledging the patient's conflicting nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. This approach helps build rapport and trust. A: This response is overly optimistic and dismisses the patient's nonverbal cues, missing an opportunity to address underlying concerns. C: This response jumps to conclusions and may come across as judgmental, potentially shutting down communication. D: This response imposes a judgment on the patient without exploring the underlying reasons for the conflicting behavior, which can be counterproductive.

Correct Answer: D

Rationale: The correct answer is D: Social cognition. Ophelia's inability to recognize familiar faces at the reunion indicates a deficit in social cognition, which involves the ability to understand and interact with others socially. This deficit is not related to lower-level cognitive domains like memory or attention (choice A), delirium threshold (choice B), or executive function which is more related to planning and decision-making (choice C). Social cognition impairment can manifest as difficulty recognizing faces, interpreting social cues, or understanding others' emotions, all of which are evident in Ophelia's situation.

Correct Answer: B

Rationale: The correct answer is B because the caseworker is trying to avert a potential relapse and preserve stability in Charlie's life by initiating a discussion about his future living arrangements. By addressing this issue proactively, the caseworker can help Charlie transition smoothly when his father can no longer care for him, minimizing disruptions and maintaining his mental health. Choice A is incorrect because it only focuses on arranging housing for Charlie after his father's death, without considering the immediate impact on Charlie's stability. Choice C is incorrect as it assumes a crisis will occur, which may not be the case if proactive steps are taken. Choice D is incorrect because it may not be realistic or beneficial to make Charlie realize he will soon live independently without proper planning and support.