Dementia
Dementia ( 5 Questions)
A nurse is planning care for a client with frontotemporal dementia who exhibits disinhibited and inappropriate behaviors.
Which of the following interventions should the nurse include in the plan?
This is wrong because restricting the client’s social interactions to prevent embarrassment can lead to social isolation, depression, and loss of self-esteem. Clients with FTD need social support and stimulation to maintain their quality of life.
Provide positive reinforcement when the client behaves appropriately. This is because positive reinforcement can help increase the frequency of desired behaviors and reduce the occurrence of inappropriate behaviors in clients with frontotemporal dementia (FTD) who exhibit disinhibition. Disinhibition is a common symptom of behavioral variant FTD (bvFTD), which is characterized by a deterioration in cognition and social behavior.
This is wrong because using physical restraints when the client becomes agitated or aggressive can increase the risk of injury, infection, and psychological distress. Physical restraints should only be used as a last resort when other interventions have failed and the client poses a serious threat to themselves or others.
This is wrong because administering antipsychotic medications to control the client’s impulses can have adverse effects such as sedation, extrapyramidal symptoms, metabolic syndrome, and increased mortality. Antipsychotic medications should be used with caution and only when non-pharmacological interventions are insufficient or contraindicated.
The correct answer is B.
Provide positive reinforcement when the client behaves appropriately. This is because positive reinforcement can help increase the frequency of desired behaviors and reduce the occurrence of inappropriate behaviors in clients with frontotemporal dementia (FTD) who exhibit disinhibition. Disinhibition is a common symptom of behavioral variant FTD (bvFTD), which is characterized by a deterioration in cognition and social behavior.
Choice A is wrong because restricting the client’s social interactions to prevent embarrassment can lead to social isolation, depression, and loss of self-esteem. Clients with FTD need social support and stimulation to maintain their quality of life.
Choice C is wrong because using physical restraints when the client becomes agitated or aggressive can increase the risk of injury, infection, and psychological distress. Physical restraints should only be used as a last resort when other interventions have failed and the client poses a serious threat to themselves or others.
Choice D is wrong because administering antipsychotic medications to control the client’s impulses can have adverse effects such as sedation, extrapyramidal symptoms, metabolic syndrome, and increased mortality. Antipsychotic medications should be used with caution and only when non-pharmacological interventions are insufficient or contraindicated.
Normal ranges for vital signs, blood tests, and other parameters are not applicable in this question.
A. Restrict the client’s social interactions to prevent embarrassment.
B. Provide positive reinforcement when the client behaves appropriately.
C. Use physical restraints when the client becomes agitated or aggressive.
D. Administer antipsychotic medications to control the client’s impulses.