Which nursing interventions will the nurse include in the plan of care for a confused older adult with dementia to facilitate communication? Select all that apply.

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Introduction to Nursing Chapter 1 Quizlet Questions

Question 1 of 5

Which nursing interventions will the nurse include in the plan of care for a confused older adult with dementia to facilitate communication? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because frequent face-to-face contact helps establish a connection and maintain attention with the confused older adult. This approach allows the nurse to monitor nonverbal cues and adjust communication accordingly. Choices B, C, and D are incorrect. Speaking calmly, simply, and directly (B) is generally helpful but not specific to facilitating communication with a confused older adult with dementia. Using clocks and calendars for orientation (C) may be overwhelming for someone with dementia. Answering questions in detail (D) can lead to confusion and may not be helpful for someone with cognitive impairment.

Question 2 of 5

The nurse is caring for a client who has disturbed sleep patterns. Which measures should the nurse implement to promote sleep? Select all that apply.

Correct Answer: A

Rationale: Correct Answer: A (Dimming the lights) Rationale: 1. Dimming the lights helps create a conducive environment for sleep by signaling the body to produce melatonin, a hormone that regulates sleep-wake cycles. 2. Reduced light exposure promotes relaxation and triggers the body's natural sleep mechanisms. 3. Bright lights can interfere with the body's circadian rhythm, making it difficult to fall asleep. Summary of Incorrect Choices: B. Administration of a diuretic is unrelated to promoting sleep and may actually disrupt sleep patterns by causing frequent trips to the bathroom. C. Promoting daytime exercises can be beneficial for overall health but may not directly address disturbed sleep patterns. D. Suggesting a bottle of wine before sleep is not recommended as alcohol can disrupt sleep quality and lead to fragmented sleep patterns.

Question 3 of 5

Which of the following clients may give consent to participate in a clinical trial?

Correct Answer: A

Rationale: The correct answer is A: An emancipated 16-year-old. Emancipated minors have the legal capacity to provide consent for medical treatments, including participating in clinical trials. They are considered mature and independent enough to make their own healthcare decisions. B: A 4-year-old child lacks the capacity to provide informed consent due to their young age and lack of understanding of the implications of participation in a clinical trial. C: An incompetent adult lacks the mental capacity to make informed decisions, so they cannot give consent for a clinical trial. D: An elder with dementia may lack the capacity to understand the risks and benefits of participating in a clinical trial, therefore cannot provide valid consent.

Question 4 of 5

What is the primary purpose of nursing theories?

Correct Answer: B

Rationale: Nursing theories provide a framework for practice, guiding nurses in delivering care rather than dictating medical interventions or replacing guidelines.

Question 5 of 5

The doctor orders hourly urine output measurement for a postoperative male client. The nurse Trish records the following amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action should the nurse take?

Correct Answer: A

Rationale: Normal urine output is 30-60 ml/hour. The recorded outputs (50 ml and 60 ml) are within normal range, so the nurse should continue monitoring as ordered.

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