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Chapter Review
538
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Chapter Study Guide
➤ MULTIPLE-CHOICE QUESTIONS
Select the best answer for each of the following
questions.
- The nurse is talking with a woman who is
worried that her mother has Alzheimer’s
disease. The nurse knows that the first sign
of dementia is
A. Disorientation to person, place, or time
B. Memory loss that is more than ordinary
forgetfulness
C. Inability to perform self-care tasks without
assistance
D. Variable with different people - The nurse has been teaching a caregiver about
donepezil (Aricept). The nurse knows that teach-
ing has been effective by which of the following
statements?
A. “Let’s hope this medication will stop the
Alzheimer’s disease from progressing any
further.”
B. “It is important to take this medication on
an empty stomach.”
C. “I’ll be eager to see if this medication makes
any improvement in concentration.”
D. “This medication will slow the progress of
Alzheimer’s disease temporarily.” - When teaching a client about tacrine (Cognex),
the nurse will include which of the following?
A. Taking tacrine can increase the risk for
elevated liver enzymes.
B. Tacrine causes agranulocytosis in some
clients.
C. The most common side effect is skin rash.
D. Tacrine has no known serious side effects. - Which of the following statements by the care-
giver of a client newly diagnosed with dementia
requires further intervention by the nurse?
A. “I will remind Mother of things she has
forgotten.”
B. “I will keep Mother busy with favorite activi-
ties as long as she can participate.”
C. “I will try to find new and different things to
do every day.”
D. “I will encourage Mother to talk about her
friends and family.”- A client with delirium is attempting to remove
the intravenous tubing from his arm, saying to
the nurse, “Get off me! Go away!” The client is
experiencing which of the following?
A. Delusions
B. Hallucinations
C. Illusions
D. Disorientation - Which of the following statements indicates the
caregiver’s accurate knowledge about the needs
of a parent at the onset of stage moderate
dementia?
A. “I need to give my parent a bath at the same
time every day.”
B. “I need to postpone any vacations for 5 years.”
C. “I need to spend time with my parent doing
things we both enjoy.”
D. “I need to stay with my parent 24 hours a day
for supervision.” - Which of the following interventions is most
appropriate in helping a client with early stage
dementia complete ADLs?
A. Allow enough time for the client to complete
ADLs as independently as possible.
B. Provide the client with a written list of all the
steps needed to complete ADLs.
C. Plan to provide step-by-step prompting to
complete the ADLs.
D. Tell the client to finish ADLs before breakfast
or the nursing assistant will do them.