Answer to Question 1
Answer: B, C
Delirium is a reversible condition caused by an acute problem, such as infection, and can occur at any age. Dementia is a cognitive decline generally associated with an aging adult. Older adult men are at higher risk for developing delirium, not younger adult females. Also, young children are at greater risk for developing delirium than adolescents due to the fact that children's bodies are less equipped to cope with insults such as fever, infection, and toxin exposure.
Answer to Question 2
Answer: A
The client does not sustain injury during wanderings is the correct answer because it relates to the diagnosis and is measurable. The client maintains continence on four out of five voidings does not relate to the diagnosis. The client sleeps through the night and stays awake most of the day does not relate to the diagnosis. The client receives culturally appropriate care is an incorrect answer because expected outcomes are unknown and not measurable.