What is the rationale for providing a patient diagnosed with dementia easily accessible finger foods thorough the day?

Correct Answer: A

Rationale: The correct answer is A because providing easily accessible finger foods throughout the day increases input, ensuring the patient with dementia receives adequate nutrition. This approach helps maintain their energy levels and prevents malnutrition. Choice B is incorrect because anorexia is not necessarily the reason for providing finger foods. Choice C is incorrect as finger foods may not necessarily assist in monitoring food intake. Choice D is incorrect as the primary rationale for providing finger foods is to increase input, not specifically to prevent constipation.

Correct Answer: D

Rationale: The correct answer is D: transitional challenges. Young adults often face significant changes in various aspects of their lives such as transitioning from school to work or moving out of their parents' home. This can lead to stress, anxiety, and depression. Developmental delays (A) typically refer to delays in reaching developmental milestones during childhood. An increase in comorbidities (B) may not necessarily be the main mental health challenge faced by young adults. Polypharmacy (C) is the use of multiple medications, which is more related to physical health challenges rather than mental health challenges in young adults. In summary, transitional challenges are the main mental health challenge for young adults due to the significant life changes they experience during this period.

Correct Answer: B

Rationale: The correct answer is B: perform a client strengths assessment. This is essential to keep the plan client-centered by focusing on the individual's positive attributes and resources. By identifying the client's strengths, the nurse can tailor interventions that build on these assets to empower the client in managing the risk factors for substance misuse. A: Contacting a rehab center for an intake assessment is premature without fully assessing the client's strengths and individualized needs first. C: Asking the psychiatrist to screen for depression is important but does not directly address keeping the plan client-centered and focusing on strengths. D: Completing a health assessment is necessary but does not specifically address the client's strengths and may not fully support client-centered care.

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication. Choice A is too broad and lacks specificity. Choice C addresses specific behaviors but lacks a focus on self-awareness or communication. Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: A

Rationale: The correct answer is A because four-point restraints are used for clients who pose an imminent danger to themselves or others due to violent behavior, such as being hostile and threatening. Restraints should only be utilized as a last resort to ensure safety. Choices B, C, and D do not warrant the use of restraints as they do not involve immediate physical harm or danger. De-escalation techniques and alternative interventions should be attempted before resorting to restraint use.