The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation. The nurse determines that the son has understood the nurse's instructions when he states which of the following?

Correct Answer: D

Rationale: The correct answer is D. Simplifying the home environment can reduce agitation in a person with dementia by minimizing distractions and confusion. This approach promotes a calm and safe environment for the father. Restraints (A) are not recommended as they can lead to physical and psychological harm. Placing the father in the bedroom (B) may cause feelings of isolation and worsen agitation. Taking him out shopping (C) may overstimulate and confuse him further, increasing agitation. Simplifying the home environment aligns with best practices for managing dementia-related agitation.

Correct Answer: C

Rationale: Rationale: Choice C is correct because borderline personality disorder is believed to be associated with frontal lobe dysfunction, impacting emotional regulation and impulsivity. The frontal lobe plays a crucial role in personality development. Choices A, B, and D are incorrect because there isn't conclusive evidence linking the disorder to increased serotonin or decreased dopamine activity, or hormonal imbalances.

Correct Answer: D

Rationale: The correct answer is D because the nurse would expect family members to express the negative impact of the client's sleep problem. Lack of sleep can lead to irritability and mood disturbances, affecting family dynamics. Choice A is incorrect as it dismisses the issue. Choice B is incorrect as it suggests no change, which is unlikely. Choice C is incorrect as lack of sleep typically does not have a positive effect on individuals or their families.

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 it addresses the potential impact of the stigma associated with criminality on nursing care. Nurses may indeed be reluctant to care for mentally ill criminals due to safety concerns, both for themselves and other clients. This response acknowledges the realistic fears that may exist and how they can influence the quality of care provided. Now, let's analyze why the other choices are incorrect: B: This choice suggests that nurses may prefer to care for forensic clients because they don't believe criminals can be mentally ill, which is not relevant to the question asked. C: This choice implies a generalization that forensic clients only experience mild mental health problems, which is not accurate and does not address the impact of stigma associated with criminality on nursing care. D: This choice mentions unfounded fears about what clients might do post-treatment, which is not directly related to the stigma associated with criminality influencing nursing care.