NUR 1211C Chapter Notes - Chapter 1: Donepezil, Countertransference, Headache

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Published on 8 Jun 2020
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A client diagnosed with Alzheimer's Disease (AD) is prescribed
donepezil (Aricept). The client's spouse inquires, "How does this
work? Will this cure him?" Which is the appropriate nursing
response?
"This medication delays the destruction of acetycholine, a chemical in the brain necessary
for memory processes. Although most effective in the early stages, it serves to delay, but not
stop, the progression of the disease."
"This medication encourages production of acetylcholine, a chemical in the brain necessary for
memory processes. It delays the progression of the disease."
"This medication delays the destruction of dopamine, a chemical in the brain necessary for
memory processes. Although most effective in the early stages, it serves to delay, but not stop,
the progression of the disease."
"This medication encourages production of dopamine, a chemical in the brain necessary for
memory processes. It delays the progression of the disease."
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The most appropriate response by the nurse is to explain that donepezil (Aricept) delays the
destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although
most effective in the early stages, it serves to delay, but not stop, the progression of the AD.
Some side effects include dizziness, headache, gastrointestinal upset.
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Counter-transference refers to a nurse's behavioral and
emotional response to a client. These responses may be related
to unresolved feelings toward significant others from the nurse's
past.
True
False
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This is the definition of counter-transference.
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The following outcome was developed for a client: "Client will
list 5 personal strengths by the end of day one." Which correctly
written diagnostic statement most likely generated the
development of this outcome?
Altered self esteem R/T years of emotional abuse AEB self-deprecating statements
Self-care deficit R/T altered thought process
Disturbed body image R/T major depressive disorder AEB mood rating of 2/10
Risk for disturbed self-concept R/T hopelessness AEB suicide attempt
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The nurse should determine that altered self-esteem and self-deprecating statements would
generate the outcome to list personal strengths by the end of day one.
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A nurse states to a client, "Things will look better tomorrow after
a good night's sleep." This is an example of which
communication technique?
The therapeutic technique of 'giving advice.'
The therapeutic technique of 'defending.'
The non-therapeutic technique of 'presenting reality.'
The non-therapeutic technique of 'giving false reassurance.'
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