Comprehensive exams for Mental Health Q 115
Which of the following outcome criteria is appropriate for the client with dementia?
A. The client will return to an adequate level of self-functioning.
B. The client will learn new coping mechanisms to handle anxiety.
C. The client will seek out resources in the community for support.
D. The client will follow an establishing schedule for activities of daily living.
Correct Answer: D. The client will follow an establishing schedule for activities of daily living.
Following established activity schedules is a realistic expectation for clients with dementia. Frequently orient the client to reality and surroundings. Allow the client to have familiar objects around him or her; use other items, such as a clock, a calendar, and daily schedules, to assist in maintaining reality orientation. Teach prospective caregivers how to orient the client to time, person, place, and circumstances, as required. These caregivers will be responsible for client safety after discharge from the hospital.
Option A: Assess and identify the patient’s previous history of grooming and bathing, and attempt to maintain similar care. This promotes familiarity with routine bathing time and type of bath or shower and lessens further confusion and agitation. Instruct the patient in activity with a short step-by-step method; do not rush the patient. This promotes self-esteem and feelings of accomplishment; rushing the patient causes frustration.
Option B: Assist in defining problems and use of techniques to cope and solve problems. This provides support for problem solving and management of the family’s fatigue and chronic stress. Provide an opportunity for the family to express concerns and lack of control of the situation to provide an opportunity for the family to express concerns and lack of control of the situation.
Option C: All of the remaining outcome statements require a higher level of cognitive ability than can be realistically expected of clients with this disorder. Identify possible support systems and ability to participate in social activities. Community resources are available for clients and families dealing with stages of AD that provide information and assistance. Provide diversional activities as appropriate for functional ability. Provide rest and sleep periods; avoid situations that cause frustration, agitation, or sensory overload.