Exam 22: Confusion

An older adult long-term care resident with dementia becomes agitated each evening after supper because he has not walked his dog.The nurse plans to intervene by doing the following: (Prioritize these options from the most simple to the most complex.) A) Remind him that his dog is not in the facility. B) Help him draw a dog on paper and carry it with him. C) Give him a small stuffed dog. D) Reorient the resident to the time and place. E) Ask his daughter to bring the dog to the facility.

The 80-year-old patient with delirium related to high fever is hallucinating about large animals being in the room.The nurse's most reassuring response to this patient would be:

The nurse is planning for the nutritional needs of a patient with Alzheimer disease.The best plan is to have the dietary department provide:

While a nurse is dressing a patient with 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.The nurse's best action would be to:

Reality orientation is helpful for some patients with confusion.The nurse should use this technique on a patient diagnosed with:

When admitting a patient who has been diagnosed as having confusion,the most important observation that the nurse should make is the patient's:

The nurse is gathering information from the family of a patient who is experiencing confusion.An important question the nurse should ask the family is:

The family of a patient with Alzheimer disease asks the nurse,"When will my mother quit being so confused?" The nurse's response should be based on the fact that dementia is a:

The patient with delirium repeatedly cries out for her husband.The first intervention by the nurse would be to:

When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.

The 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.When the patient does not respond,the nurse should:

When teaching family members to care for the patient with dementia,the nurse must be sure that they understand two important concepts,which are that the patient usually:

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.The nurse's best advice would be to have them:

A patient's presentation included confusion,which began very suddenly and lasted less than a week.The nurse should be able to identify this as:

When assessing the patient for delirium versus dementia,the nurse would expect the patient with dementia to have signs of a(n):

The nurse caring for the patient with dementia notices that the patient stays awake most of the night.The nurse's most appropriate action would be to:

The nurse has found the patient with delirium in other patients' rooms several times.The best action by the nurse would be to:

When assisting the patient with dementia to dress,the nurse's first action should be to:

The Cognitive Developmental Approach (CDA)to caring for patients with dementia adapts interventions that are designed to:

The nurse will focus nursing care support for a patient with mild cognitive impairment (MCI)on: