Exam 22: Confusion

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The nurse is preparing a room for a patient being transferred from the emergency department with a diagnosis of delirium.The nurse should ensure that the room is:

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C

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.The nurse is aware that the medication that could be causing confusion is:

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D

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:

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D

Although unclear,it is believed that Alzheimer disease is caused by: (Select all that apply.)

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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:

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The patient asks the nurse,"My doctor says I get confused sometimes because I have vascular dementia.What caused me to have that?" The most appropriate response by the nurse would be:

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The 80-year-old woman who has Alzheimer disease is restless,wanders during mealtime,and will not sit down to eat.The nurse assisting with writing the care plan prioritizes the following interventions for the goal-The patient will eat at least 25% of each meal: (Prioritize the options in sequence,from the most therapeutic to the least therapeutic)

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

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The nurse is discussing home care of the patient with dementia with the patient's family.The nurse should advise the family to prevent the patient from wandering by:

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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.)

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

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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:

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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:

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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)____________________.

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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.The nurse knows that the main differences are:

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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:

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

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

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

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In assessing a patient for the possibility of confusion,the nurse should keep in mind that the two major types of confusion are:

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