Question

1. which of the following actions may increase a clients disorientation? a. stating your name and showing your name tag b. giving the client very detailed instructions prior to performing a procedure c. calling the client by name each time you are in contact with him d. encouraging the client to wear his glasses and hearing aid if needed 32. which of these measures is helpful when a client with alzheimers disease is agitated? a. approach the client in a slow, unhurried manner b. turn the volume of the tv up to get the clients attention c. gently begin massaging the clients back d. place the client in a darkened room and shut the door 33. what should you do if the client repeatedly tries to go outside and wander? a. make sure the client receives medication to calm him or her down. b. restrain the client to prevent wandering. c. if allowed, escort the client outside and stay with him or her. d. tell the client he or she is not allowed outside. 34. how can you incorporate principles of validation therapy when caring for a client who thinks that “kitty cats” are in her closet? a. ask her to describe the cats b. distract her by showing her pictures on her dresser c. tell her that there are no cats in that facility d. ask her if she is hungry 35. vascular dementia is: a. the least common form of dementia b. is also called creutzfeldt - jakob disease c. is the result of a series of strokes d. is caused by a lack of vitamin d in the diet

Explanation:

• Question 31: Detailing instructions can overwhelm a disoriented client and increase disorientation. Options A, C, and D are orientation - enhancing measures.
• Question 32: Approaching a client with Alzheimer's who is agitated in a slow, unhurried manner can help soothe them. Loud noise (Option B), sudden physical contact (Option C), and isolation (Option D) can worsen agitation.
• Question 33: Restraint (Option B) is a last - resort measure. Medication (Option A) should not be the first step. Telling the client they can't go out (Option D) may increase anxiety. Escorting the client if allowed is a more humane approach.
• Question 34: Validation therapy involves acknowledging and validating a client's feelings and perceptions. Asking the client to describe the cats validates her perception. Distraction (Option B), denial (Option C), and changing the subject (Option D) are not validation techniques.
• Question 35: Vascular dementia is caused by a series of strokes that damage brain tissue related to cognitive function. It is not the least common form of dementia, Creutzfeldt - Jakob disease is different, and it is not related to vitamin D deficiency.

Answer:

1. B. Giving the client very detailed instructions prior to performing a procedure
2. A. Approach the client in a slow, unhurried manner
3. C. If allowed, escort the client outside and stay with him or her.
4. A. Ask her to describe the cats
5. C. Is the result of a series of strokes