Author Question: A client is exhibiting signs of mild delirium such as occasional confusion about why he is in the ... (Read 100 times)

lbcchick

  • Hero Member
  • *****
  • Posts: 550
A client is exhibiting signs of mild delirium such as occasional confusion about why he is in the hospital and what day of the week it is.
 
  When developing a care plan, the nurse identifies several strategies to improve the client's cognitive function. Which of the following interventions will be most helpful to the client?
  A) Keep the television on to provide stimulation
  B) Have someone play checkers with the client
  C) Write the date and the times of scheduled activities on a whiteboard
  D) Place the client on bed rest to ensure energy conservation and rapid recovery

Question 2

A client is admitted to the psychiatric unit after taking various medications and illegal substances to get high.
 
  In addition to his underlying diagnosis of bipolar disorder, the client is diagnosed with delirium. Currently, he is experiencing mild hallucinations and confusion. Which intervention should the nurse do first?
  A) Loosely apply a vest restraint
  B) Obtain an order for haloperidol
  C) Arrange for an unlicensed assistant to sit with the client
  D) Organize diversional activities for the client.



pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

Ans: C
Feedback:
The confused client will be calmer when the nurse eliminates environmental stimuli that invite misinterpretation, such as abstract pictures on the wall or excessive background noise and television. Conversely, the nurse can provide environmental cues in the form of clocks, recognizable pictures, and calendars to help restore orientation to time and place. A caveat to reducing environmental stimuli is to not create an understimulating environment, which can be just as detrimental as an overstimulating one. The key is to remove abstract or difficult-to-interpret environmental cues and replace them with simple, easy-to-recognize ones.

Answer to Question 2

Ans: C
Feedback:
The team must structure the client's environment to ensure safety as well as to maximize cognitive abilities and psychological comfort. Providing a private room for the client is beneficial so that staff can minimize noxious and confusing environmental stimuli and maximize the use of a sitter or supportive family members.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

For a complete list of videos, visit our video library