NCLEX RN Practice Question # 494
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1. Question
A nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicate a manifestation associated with dementia?
CorrectAnswer & Rationale:
Option 1 is Correct
Rationale: The clinical picture of dementia ranges from mild cognitive deficits to severe, life-threatening alterations in neurological functioning. For the client to use confabulation or the fabrication of events or experiences to fill in memory gaps is not unusual. Often, lack of inhibitions on the part of the client may constitute the first indication of something being “wrong” to the client’s significant others (e.g., the client may undress in front of others, or the formerly well-mannered clientmay exhibit slovenly table manners). As the dementia progresses, the client will have episodes of wandering or sundowning.
IncorrectAnswer & Rationale:
Option 1 is Correct
Rationale: The clinical picture of dementia ranges from mild cognitive deficits to severe, life-threatening alterations in neurological functioning. For the client to use confabulation or the fabrication of events or experiences to fill in memory gaps is not unusual. Often, lack of inhibitions on the part of the client may constitute the first indication of something being “wrong” to the client’s significant others (e.g., the client may undress in front of others, or the formerly well-mannered clientmay exhibit slovenly table manners). As the dementia progresses, the client will have episodes of wandering or sundowning.