Nursing Acceleration Challenge
Exam (NACE) I PN-RN: Foundations
of Nursing Practice Test 2024
With Complete Solutions
An Alzheimer patient is actively resistive to basic hygiene. However, in order to meet basic standards
for hygiene, how frequently should the patient be bathed?
Biweekly
Weekly
Two to three times weekly
Daily - ANSWERS,Two to three times weekly
While adults don't usually need daily baths, they should bathe two to three times weekly. Grab bars,
shower or tub seats, tub mats, handheld showers, and proper heating (to avoid chilling the patient)
can facilitate more frequent bathing. Mild soap and bath oil may reduce the drying of skin. Patients
who are fearful of tubs and showers, common with dementia, may receive a sponge bath or Comfort
Bath with premoistened, warmed washcloths. Thick-handled toothbrushes or electric toothbrushes
may facilitate mouth care.
At which time of day are patients with cognitive impairment usually MOST sensitive to sensory
overload?
Late evening
Noon
Afternoon
Early morning - ANSWERS,Afternoon
Many people are more sensitive to sensory overload in the afternoon when cortisol levels are
highest. Sensory overload most often affects those with cognitive impairment or those in stressful
situations. Excess noise and activity can cause distress, agitation, confusion, and delirium. Sensory
deprivation occurs when there is too little environmental stimulation because of reduction in
sensory input because of hearing or vision deficits, inability to recognize sensory input because of
cognitive impairment, or a boring environment. Sensory deprivation can contribute to confusion,
disorientation, and depression.
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