What should a nurse consider when assisting a patient with dementia during bathing?

Correct Answer: C

Rationale: Maintaining a calm and reassuring approach during bathing helps a dementia patient feel safe, reducing agitation or fear common in unfamiliar routines. Rapid bathing heightens stress, worsening distress. Cold water shocks, not alerts, risking resistance. Minimal communication isolates gentle explanation soothes, even if not fully grasped. Nurses use warm water, soft tones, and patience, adapting to cues, ensuring comfort and dignity while managing cognitive limitations effectively in this sensitive task.

Correct Answer: C

Rationale: Immunization is not a support worker's responsibility it's a clinical task for licensed professionals like nurses or doctors, requiring medical training beyond a health care aide's scope. Personal care (e.g., bathing), family support (e.g., communication), and housekeeping (e.g., tidying) align with their role in daily assistance and client well-being. Aides focus on observation and non-invasive care, not administering vaccines. Misassigning this could breach legal boundaries and safety, emphasizing the need for aides to stay within their defined duties, ensuring care remains supportive and appropriate.

Correct Answer: B

Rationale: Rose is exploring the client's religion by asking about worship preferences, a spiritual practice tied to faith, not just culture (broader traditions), health beliefs (treatment views), or time management (scheduling). This shows sensitivity to spiritual needs, a holistic care element. Health care aides ask such questions to build rapport and tailor support e.g., arranging prayer time enhancing comfort and dignity. Misreading this as culture or health beliefs dilutes its focus; religion is distinct, shaping identity and coping, making Rose's inquiry a targeted, respectful engagement.

Correct Answer: B

Rationale: Maslow classifies oxygen, water, and food as physiological needs , essential for survival, unlike safety , self-esteem , or self-actualization . These underpin life; without them, higher needs are irrelevant. PSWs address these first e.g., ensuring hydration before safety or esteem tasks. Misplacing them in the hierarchy could skew care priorities, like focusing on locks over meals. This knowledge ensures PSWs meet basic client needs systematically, grounding care in biological necessity, a cornerstone of their supportive role.

Correct Answer: C

Rationale: Non-verbal communication e.g., facial expressions more accurately reflects feelings, often truer than written , verbal , or sign language words, which can mask emotions. PSWs read these cues e.g., a grimace showing pain beyond what's said. Verbal can be rehearsed, but body language leaks truth. This insight helps PSWs respond to unvoiced needs, like comforting a tense client, enhancing care sensitivity, a nuanced skill in their daily interactions.