Which statement by an older patient with a mild neurocognitive disorder demonstrates a safe response to beginning a new medication?

Correct Answer: B

Rationale: The correct answer is B because having a family member present during appointments ensures accurate information retention and understanding, especially for older patients with mild neurocognitive disorders who may have difficulty remembering or processing information independently. This support system can help clarify any confusion, address concerns, and monitor medication adherence. A: While reading the information provided by the pharmacist is helpful, it may not be sufficient for patients with cognitive impairments. C: While knowing they can call the doctor is important, relying solely on this may not provide immediate or real-time support when needed. D: Following instructions on the medication bottle is essential, but older patients with cognitive disorders may need additional assistance to ensure proper medication management.

Correct Answer: D

Rationale: The correct answer is D: hyperactive, hypoactive, and mixed. Hyperactive delirium involves agitation and restlessness, hypoactive delirium is characterized by reduced activity and lethargy, and mixed delirium includes features of both hyperactive and hypoactive states. Choice A is incorrect as depression is not a type of delirium. Choice B is incorrect as confusion is a symptom found in all types of delirium, not a distinct type. Choice C is incorrect as dementia is a separate condition from delirium.

Correct Answer: D

Rationale: The correct answer is D: vocational rehabilitation program. This program would directly benefit Mr. Dilip by providing him with the necessary skills, training, and support to re-enter the workforce as a woodworker. Vocational rehabilitation programs are specifically designed to assist individuals with disabilities or barriers to employment, such as substance use issues, in obtaining and maintaining meaningful employment. These programs offer services like career counseling, job training, job placement assistance, and ongoing support to help individuals like Mr. Dilip successfully reintegrate into the workforce. A: Peer support program - While peer support can be beneficial for individuals in recovery, it may not provide the structured training and skills development needed for Mr. Dilip to re-enter his previous career as a woodworker. B: Entrepreneurship program - While entrepreneurship can be a viable option for some individuals, it may not be the most direct path for Mr. Dilip to rejoin the workforce as a woodworker. C: Mental health integration program - While mental health support

Correct Answer: D

Rationale: The correct answer is D because psychotherapy is a key treatment for personality disorders, including cluster A disorders like schizoid or paranoid personality disorder. While medications may help manage symptoms, they do not treat the core issues. Option A is incorrect because personality disorders are deeply ingrained and not typically cured. Option B is incorrect as DBT primarily targets emotion regulation in borderline personality disorder. Option C is incorrect as medications are not considered primary treatment for personality disorders.

Correct Answer: D

Rationale: The correct answer is D: QI (Quality Improvement). In this scenario, the nurse is leading a project to improve medication administration, which aligns with the goals of a QI project. The focus is on implementing evidence-based practices to enhance patient care outcomes. QI projects aim to make systematic changes to improve processes and outcomes within a healthcare setting. A: Qualitative research focuses on exploring experiences, perceptions, and meanings, rather than making systematic improvements to processes. B: PICOT is a framework used to formulate research questions for evidence-based practice projects, not a type of research project. C: Mixed methods research involves combining qualitative and quantitative methods, which is not the same as leading a QI project to improve medication administration.