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Chapter 34: Problem 543

An elderly woman was diagnosed with Alzheimer's disease several years ago. Her confusion is increasing. During AM care, the woman tells the nurse about something that happened to her years ago. The husband, who overheard, immediately corrects the woman and explains the correct information to the nurse. The nurse would talk to the husband in private to encourage him to: A. continue to correct her stories to help her stay in touch with reality. B. discourage his wife from talking so that listeners will not be confused. C. allow her to tell stories as she remembers them to reduce risk of agitation. D. ignore all of the woman's rantings as everyone is aware of her confusion.

Short Answer

Expert verified
Option C: Allow her to tell stories as she remembers them to reduce risk of agitation.

Step by step solution

01

- Understanding Alzheimer's Disease

Consider the nature of Alzheimer's disease, which affects memory and cognitive function. Patients often become confused and may recall things incorrectly.
02

- Evaluating the Husband's Reaction

Analyze the husband's immediate correction of his wife's story. Think about whether this action improves or worsens her condition and emotional state.
03

- Potential Consequences of Each Choice

Evaluate each option: A. Correcting her stories may frustrate or agitate her more, worsening her condition. B. Discouraging her from talking might lead to her feeling silenced or ignored. C. Allowing her to tell stories as she remembers them can keep her calm and reduce agitation. D. Ignoring her completely could lead to further emotional distress and feelings of isolation.
04

- Choosing the Best Option

The goal is to reduce the woman's risk of agitation and emotional distress. Allowing her to tell stories as she remembers them, even if they are incorrect, is the best way to manage her confusion without causing agitation.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

memory and cognitive function
Alzheimer's disease primarily affects memory and cognitive function. Patients often experience significant confusion and may misremember or inaccurately recall past events. This is due to the degeneration of brain cells, which disrupts the proper storage and retrieval of memories. To help manage these symptoms:
  • Provide clear, simple, and repeated instructions to aid understanding.
  • Use memory aids like labels and calendars to support daily activities.
  • Create a consistent routine to minimize confusion and provide a sense of stability.
It's important to gently support the patient's memory while understanding that their recall may not always be accurate. The goal is to create a reassuring environment that compensates for cognitive deficits without causing frustration.
emotional well-being of patients
The emotional well-being of patients with Alzheimer's disease is crucial. They often feel emotional distress due to their cognitive limitations. It's essential to create an environment that fosters emotional security and reduces anxiety. Here are some strategies:
  • Engage in activities that the patient enjoys and finds relaxing.
  • Encourage social interaction to prevent feelings of isolation.
  • Acknowledge their emotions and validate their feelings to provide comfort.
A calm and supportive atmosphere helps patients cope with their emotional stress, which, in turn, can positively impact their overall well-being.
patient communication techniques
Effective communication with Alzheimer鈥檚 patients requires patience and specific techniques. Simplifying communication can help manage misunderstandings. Here are some effective techniques:
  • Speak slowly and clearly, using simple sentences. Give them time to process and respond.
  • Maintain eye contact and use non-verbal cues, such as gestures, to reinforce understanding.
  • Listen attentively, even if their speech is unclear or repetitive.
Adapting communication methods to the patient's abilities helps maintain a connection and ensures they feel heard and valued.
risk of agitation in Alzheimer's patients
Alzheimer's patients are at a high risk of agitation, which can exacerbate their condition. Agitation can stem from frustration, confusion, or emotional distress. To reduce the risk of agitation:
  • Allow patients to speak about their memories, even if inaccurate, without correcting them aggressively.
  • Keep the environment calm, minimizing noise and distractions.
  • Use comfort objects or familiar items to provide a sense of security.
By reducing triggers and providing a soothing atmosphere, caregivers can help manage the patient's agitation effectively, ensuring a more stable emotional state.

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Most popular questions from this chapter

The nurse would expect to encounter attention seeking and erratic behaviors when caring for a group of clients with which cluster of personality disorders? A. Paranoid, schizoid, schizotypal B. Antisocial, borderline, histrionic, narcissistic C. Avoidant, dependent, obsessive-compulsive D. Passive-aggressive, masochistic

A child is admitted to the hospital with gastroenteri- tis. The physician orders D51/4 NS with 20 mEq KCL per 1000 ml to be administered at a rate of 50 ml per hour. The appropriate nursing action for this order would be to A. delay adding the KCL until the child has voided. B. ask why the physician didn鈥檛 include other elec- trolytes. C. question the physician why a hypertonic solution was ordered. D. monitor the child for fluid volume overload because of the fast rate. The answer is A. Potassium would not be added until the child has voided. Hyperkalemia would occur if kidney func- tion was impaired resulting in cardiac dysfunction. The other responses are incorrect. Fluid replacement is the main concern in gastroenteritis, the fluid is hypotonic and the rate is not excessive.

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