Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?- Skildor

Question 1 of 5

Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?

A. Daytime exercise programs are contraindicated in this population because of high risk of fall and fracture. B. Daytime programs are designed to maintain client wakefulness, and as such can cover a broad range of topics, including music, art, exercise, dance, and cognitive tasks (puzzles, etc.), and should be designed with patient cognitive and physical status, cultural beliefs, social support, and available staffing in mind. C. Daytime programs that lack a physical exertion component do not contribute to physiologic need for sleep, and are thus less effective than programs that require client physical exertion. D. Daytime programs must include moderate to rigorous intensity physical exercise (3�6 mets) to generate an appropriate sleep deficit in nursing home residents.

Correct Answer: B

Rationale: Daytime programs designed with a variety of activities, including exercise, cognitive tasks, and creative activities, can help maintain wakefulness and improve sleep.

Question 2 of 5

The nurse is reviewing a patient's medication list. The patient takes warfarin (Coumadin). What laboratory test should the nurse prioritize monitoring?

A. Complete blood count (CBC) B. Liver function tests C. Prothrombin time (PT) D. Blood glucose level

Correct Answer: C

Rationale: Warfarin affects clotting, so monitoring prothrombin time (PT) is essential to assess its therapeutic effect and avoid bleeding complications.

Question 3 of 5

Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?

A. Daytime exercise programs are contraindicated in this population because of high risk of fall and fracture. B. Daytime programs are designed to maintain client wakefulness, and as such can cover a broad range of topics, including music, art, exercise, dance, and cognitive tasks (puzzles, etc.), and should be designed with patient cognitive and physical status, cultural beliefs, social support, and available staffing in mind. C. Daytime programs that lack a physical exertion component do not contribute to physiologic need for sleep, and are thus less effective than programs that require client physical exertion. D. Daytime programs must include moderate to rigorous intensity physical exercise (3�6 mets) to generate an appropriate sleep deficit in nursing home residents.

Correct Answer: B

Rationale: Daytime programs designed with a variety of activities, including exercise, cognitive tasks, and creative activities, can help maintain wakefulness and improve sleep.

Question 4 of 5

What is a patient's chief complaint?

A. A history of illness or symptoms B. The most urgent medical issue C. The first medical issue treated D. The patient's main reason for seeking medical care

Correct Answer: B

Rationale: The chief complaint is the main reason the patient seeks care, focusing on their immediate concern.

Question 5 of 5

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

A. Document the finding and observe for a few weeks B. Order a thyroid function test and ultrasound C. Advise the patient to take iodine supplements D. Schedule a follow-up appointment in six months

Correct Answer: B

Rationale: An enlarged thyroid warrants further investigation, such as thyroid function tests and imaging (ultrasound).