Choose correct answer/s Show A The patient was oriented and alert when admitted. B The patient's speech is fragmented and incoherent. C The patient is oriented to person but disoriented to place and time. D The patient has a history of increasing confusion over several years. Check answer Choose correct answer/s A Provide complete personal hygiene care for the patient.
B Remind the patient frequently about being in the hospital. C Reposition the patient frequently to avoid skin breakdown. D Place suction at the bedside to decrease the risk for aspiration. Check answer Choose correct answer/s A wait until the patient is well-rested. B administer an anxiolytic medication. C choose a place without distracting stimuli. D reorient the patient during the examination. Check answer Choose correct answer/s A secure the patient in bed using a soft chest restraint. B ask the health care provider to order an antipsychotic drug. C instruct family members to remain at the patient's bedside and prevent injury. D assign unlicensed assistive personnel (UAP) to stay with and reorient the patient. Check answer Choose correct answer/s A Suggest a move into an assisted living facility. B Schedule the patient for more frequent appointments. C Ask family members to supervise the patient's daily activities. D Discuss the preventive use of acetylcholinesterase medications. Check answer Choose correct answer/s C "Wait, let me think about that." D "Who are those people over there?" Choose correct answer/s A excessive nighttime sleepiness. B difficulty eating and swallowing. C loss of recent and long-term memory. D fluctuating ability to perform simple tasks. Choose correct answer/s A Ask about a family history of dementia. B Administer the Mini-Mental Status Exam. C Use the Confusion Assessment Method tool. D Obtain a list of the patient's usual medications. Choose correct answer/s A "Are you sad right now?" B "How is your self-image?" C "What did you eat for lunch?" D "Where were you were born?" Choose correct answer/s A the most important risk factor for AD is a family history of the disorder. B a diagnosis of AD is made only after other causes of dementia are ruled out. C new drugs have been shown to reverse AD deterioration dramatically in some patients. D brain atrophy detected by magnetic resonance imaging (MRI) would confirm the diagnosis of AD. Choose correct answer/s A Setting the medications up monthly in a medication box B Having the patient's family member administer the medication C Posting reminders to take the medications in the patient's house D Calling the patient weekly with a reminder to take the medication Choose correct answer/s A Encourage the patient to discuss events from the past. B Maintain a consistent daily routine for the patient's care. C Reorient the patient to the date and time every 2 to 3 hours. D Provide the patient with current newspapers and magazines. Choose correct answer/s A Reorient the patient several times daily. B Have the family bring in familiar items. C Place the patient in a room close to the nurses' station. D Ask the patient why the wandering episodes have occurred. Choose correct answer/s A Have the patient take a mid-morning nap. B Keep window blinds open during the day. C Provide hourly orientation to time and place. D Move the patient to a quiet room in the afternoon. Choose correct answer/s A reorient the patient to time, place, and person. B administer a PRN dose of lorazepam (Ativan). C assess for factors that might be causing discomfort. D assign unlicensed assistive personnel (UAP) to stay in the patient's room. Choose correct answer/s A Check the patient's orientation to time and date. B Obtain a list of the patient's prescribed medications. C Ask the person to use a clock drawing to indicate a specific time. D Determine the patient's ability to recognize a common object such as a pen. Choose correct answer/s A Patient with Alzheimer's disease who has long-term memory deficit B Patient with vascular dementia who takes medications for depression C Patient with new-onset confusion, restlessness, and irritability after surgery D Patient with dementia who has an abnormal Mini-Mental State Examination Choose correct answer/s A Patient who has not had a bowel movement for 5 days B Patient who has a stage II pressure ulcer on the coccyx C Patient who is refusing to take the prescribed medications D Patient who developed a new cough after eating breakfast Choose correct answer/s A Suggest that a long-term care facility be considered. B Offer ideas for ways to distract or redirect the patient. C Teach the spouse about adult day care as a possible respite. D Suggest that the spouse consult with the physician for antianxiety drugs. E Ask the spouse what she knows and has considered about dementia care options. Which symptom would suggest that the patient is experiencing delirium instead of dementia?Delirium is different from dementia. But they have similar symptoms, such as confusion, agitation and delusions. If a person has these symptoms, it can be hard for healthcare professionals who don't know them to tell whether delirium or dementia is the cause.
Which action should the nurse take to minimize a client's Sundowning Behaviours?Maintain routines and structure activity.
Maximize activity earlier in the day and minimize napping (especially if your loved one isn't sleeping well at night). Try to avoid challenging, stressful tasks around dusk and at night.
How can you tell the difference between delirium and dementia?The differences between dementia and delirium
Dementia develops over time, with a slow progression of cognitive decline. Delirium occurs abruptly, and symptoms can fluctuate during the day. The hallmark separating delirium from underlying dementia is inattention. The individual simply cannot focus on one idea or task.
What to do if a patient is disoriented?If a person suddenly becomes disoriented, call triple zero (000) and ask for an ambulance. Stay with them to keep them calm until help arrives. When someone experiences symptoms of disorientation, it's important to see a doctor as soon as you are able.
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When administering a mental status examination to a patient with delirium, the nurse should
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