What are nursing interventions for dementia related to sleep?

Correct Answer: C

Rationale: The correct answer is C. Keeping the area well-lit and maintaining a calm atmosphere (Choice A) helps reduce confusion and anxiety in dementia patients, promoting better sleep. Avoiding the use of restraints and medications for sleep (Choice B) is crucial to prevent adverse effects and maintain patient autonomy. Therefore, combining both interventions (Choice C) addresses the holistic needs of dementia patients, promoting better sleep quality and overall well-being. Choice D is incorrect as nursing interventions for dementia-related sleep issues should include a combination of environmental adjustments and non-pharmacological approaches.

Correct Answer: D

Rationale: The correct answer is D because caring for the dying involves being present, showing empathy, allowing discussion of life successes, helping create a lasting legacy, supporting the family, and resolving conflicts. A is correct as it emphasizes being present and demonstrating empathy. B is also essential as it acknowledges the importance of reflecting on life accomplishments. C is crucial for providing holistic care by supporting the family and addressing conflicts. Therefore, all the aspects mentioned in choices A, B, and C are vital components of comprehensive end-of-life care, making D the correct answer.

Correct Answer: A

Rationale: The correct answer is A. If the client had a severe addiction problem in the past, prescribing diazepam (a benzodiazepine) PRN for panic disorder may not be appropriate due to the risk of addiction and potential for misuse. The nurse should question this order to ensure the safety and well-being of the client. Choice B (diagnosis of IBS) is not a direct contraindication for diazepam use in panic disorder. Choice C (allergy to meperidine) is unrelated to the prescription of diazepam. Choice D (prescription of lithium carbonate) is not a direct reason to question the diazepam order, as they can be prescribed together for different indications.

Correct Answer: C

Rationale: The correct answer is C: The nurse is required to make sure the proper authority is informed. In this situation, the nurse has a duty to report any form of elder abuse to the appropriate authorities to ensure the client's safety and well-being. Reporting to the proper authority can lead to interventions to protect the client from further harm. Incorrect answers: A: The family member is to be charged for his offense - This is not the nurse's role and may escalate the situation. B: It is a requirement that he be removed for his safety - Removing the client may not address the root cause of the abuse. D: A competency hearing must be scheduled for the client - Competency is not the primary concern in this case; the focus should be on addressing the abuse.

Correct Answer: C

Rationale: The correct answer is C. The client with OCD rearranging the magazines is likely engaging in a compulsive behavior to temporarily reduce the anxiety they are feeling. This action provides the client with a sense of control and relief from their obsessive thoughts, albeit temporarily. This behavior is a manifestation of the client's need to alleviate distress caused by their obsessions. A: While rearranging the magazines may result in a structured environment, the primary motivation is to reduce anxiety, not necessarily to ensure order. B: The client's actions are not primarily intended to show others how to stay organized but rather to cope with their anxiety. D: The client's behavior is not focused on showing the nursing staff they can handle emotions but rather on managing their own distress.