Which of the following would indicate that a therapeutic activity program for a client with Alzheimer's disease had been successful? Client demonstrates:

Correct Answer: B

Rationale: The correct answer is B because increased attention span, verbal expression of remote memory, and positive emotional response indicate successful therapeutic program for Alzheimer's client. Attention span and verbal expression show cognitive improvement, while positive emotional response indicates overall well-being. Option A lacks improvement in remote memory. Option C mentions reduction in habitual skills, which is not desirable. Option D emphasizes recent memory and remembering multiple steps, but doesn't cover improvement in attention span or remote memory.

Correct Answer: B

Rationale: The correct answer is B: Alzheimer's disease. The client's symptoms of memory loss, confusion, and difficulty with daily tasks point towards Alzheimer's disease, a progressive neurodegenerative disorder affecting memory and cognitive function. Vascular dementia (A) typically presents with a history of stroke or cardiovascular disease, which is not indicated in the scenario. Acute delirium (C) is a sudden and fluctuating change in mental status often caused by medical conditions or medications, not a progressive decline like Alzheimer's. Aging (D) is a natural process and does not explain the specific symptoms described.

Correct Answer: C

Rationale: The correct answer is C: Forgetting where he or she lives. In Alzheimer's disease, disorientation to time and place is a common symptom due to memory loss and cognitive decline. Forgetting where one lives directly relates to disorientation, as the individual may not recognize their home or surroundings. Choice A is related to sequencing and executive function, not specific to time and place. Choice B is more associated with language and communication difficulties. Choice D relates to paranoia or mistrust, not specifically related to disorientation to time and place. In summary, the correct answer directly reflects the symptom of disorientation in Alzheimer's disease, while the other choices are related to different cognitive functions.

Correct Answer: B

Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being. Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.

Correct Answer: A

Rationale: The correct answer is A because emphasizing that the battering pattern usually remains the same in frequency highlights the consistent and recurring nature of the behavior. This implies that the pattern is predictable and stable. Choice B is incorrect because it contradicts the idea of consistency in the battering pattern. Choice C is incorrect because it suggests unpredictability, which goes against the notion of the pattern remaining the same. Choice D is incorrect because option A aligns with the concept of the battering pattern being consistent in frequency and severity.