Ling works as a registered nurse in an Alzheimer's care home. Ling has a specialized rapport-building technique she uses called reminiscence. She uses this technique by:

Correct Answer: D

Rationale: The correct answer is D because reminiscence involves encouraging individuals to recall past events, which can help trigger memories and improve cognitive function in Alzheimer's patients. By encouraging the residents to talk about pleasurable past events, Ling is engaging them in reminiscence therapy, which can enhance their well-being and quality of life. Option A is incorrect because talking about Ling's own grandparents' lives doesn't directly engage the residents in reminiscing about their own past. Option B is incorrect because playing music from the residents' formative years may evoke memories but does not actively engage them in reminiscence therapy. Option C is incorrect because reviewing movies may provide entertainment but does not specifically target reminiscence and memory recall as effectively as encouraging the residents to talk about their own past experiences.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Completing a mental status exam is crucial in assessing behavioral health clients. 2. Failing to do so may result in missing important information about the client's mental state. 3. DeShawna's statement indicates a lack of understanding of the importance of a mental status exam. 4. This demonstrates her need for assistance in recognizing the significance of thorough assessments. Summary of Incorrect Choices: A: Completing all parts of the nursing assessment is positive but does not specifically address the need for a mental status exam. C: Gathering medication names is important but does not address the need for a mental status exam. D: Assessing for suicidal ideation is crucial, but it does not address the need for a mental status exam, which is also essential in behavioral health assessments.

Correct Answer: A

Rationale: The correct answer is A: Risk for falls R/T right-sided weakness and sedation from risperidone. This is the priority nursing diagnosis because the client's physical aggression and right-sided weakness increase the risk of falls, which can lead to further injury. The sedative effect of risperidone can further impair the client's balance and coordination, exacerbating the risk. Addressing this risk is crucial to ensure the safety and well-being of the client. Summary of other choices: B: Activity intolerance R/T right-sided weakness - While this is a relevant concern, it is not the priority as the risk of falls takes precedence. C: Disturbed thought processes R/T acting-out behaviors - While the client's behavior may be a concern, addressing the immediate risk of falls is more critical. D: Anxiety R/T change in health status and dependence on others - While anxiety may be present, addressing the risk of falls is more urgent in this situation.

Correct Answer: B

Rationale: The correct answer is B. By informing the student's instructor and the client's primary nurse, the nursing student upholds the ethical principle of veracity, which is being truthful and honest. This action ensures that the correct dosage of medication is administered to the client, preventing potential harm. Documenting the situation is essential for accurate record-keeping and accountability. Choice A is incorrect because keeping the information confidential would go against the ethical principle of veracity and could potentially harm the client. Choice C is incorrect as the decision about actions should involve healthcare professionals to ensure the client's safety and well-being, not solely the client. Choice D is incorrect because even if the client was not harmed immediately, incorrect medication dosages could still have long-term consequences, making it crucial to report the incident for proper evaluation and prevention.

Correct Answer: A

Rationale: The correct answer is A because tertiary prevention focuses on managing existing conditions to prevent further complications. Helping a person with mental illness learn to manage money falls under this category by providing support and skills to improve their quality of life. Choice B involves physical restraint, which is not a form of prevention. Choice C is an example of primary prevention as it aims to educate and prevent the initial occurrence of substance abuse. Choice D is an example of secondary prevention as it involves identifying genetic risks and providing counseling to prevent the development of diseases or conditions.