Exam 13: Delirium and Dementia

A patient with delirium repeatedly cries out for her husband.What is the most appropriate initial nursing intervention?

A nurse in a long-term care facility is taking patients to the dining room for lunch.She asks the patient who has been diagnosed with delirium if she is ready to go eat lunch.The patient does not respond.What should be the nurse's next action?

A nurse is admitting a patient who has been diagnosed as having confusion.What is the most important observation that the nurse should make regarding this patient?

A nurse is preparing a room for a patient being transferred from the emergency department with a diagnosis of delirium.What should the nurse ensure in regard to the room?

What should nursing care focus on to best support a patient with mild cognitive impairment (MCI)?

Reality orientation is helpful for some patients with confusion.What patient diagnosis is most appropriate for the nurse to implement this technique?

A nurse is assessing a patient for delirium versus dementia.What should the nurse expect the patient with dementia to display?

While a nurse is dressing a patient who has dementia as a result of Huntington disease, the patient states, "I don't want to wear clothes today" and begins to resist help putting on her clothes.What is the nurse's most appropriate action?

An 80-year-old patient with delirium related to high fever is hallucinating about large animals being in the room.What is the most reassuring nursing response to this patient?

A patient has been admitted with a diagnosis of confusion.The physician's admission note states that he wants to assess for delirium versus dementia.What should the nurse be aware that the main differences include?

What are believed to be causes of Alzheimer disease? (Select all that apply.)

The family of a patient with Alzheimer disease asks the nurse, "When will my mother quit being so confused?" On what information regarding dementia should the nurse base a response?

A patient asks a nurse what causes dementia.What two most prevalent types of dementia should the nurse consider before responding?

A nurse is taking a patient who has Alzheimer disease to the bathing room for a tub bath.The patient states, "Please don't make me take a bath today.I am so afraid that I will be washed down the drain." What is the nurse's best response?

Which characteristics are most likely to be present in the patient with dementia?

When admitting a patient who has recently become confused, the nurse asks the family for a list of all the medications that the patient is currently taking.Which medication identified by the family should the nurse be aware could be causing confusion?

The family of a patient with dementia expresses concern to the nurse about the patient wandering at night.They are afraid that the patient might get up while they are sleeping and go outside.What is the best advice for the nurse to provide?

A patient is displaying confusion, which began very suddenly and lasted less than 1 week.What should the nurse suspect is present?

A nurse is assessing a patient for the possibility of confusion.What two major types of confusion should the nurse be aware of to appropriately assess this patient?

What are the adaptations to interventions that the Cognitive Developmental Approach (CDA)to caring for patients with dementia designed to achieve?