A client has an abrupt onset of a cluster of global changes in ...

[cagreen833]

A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of consciousness. What would be the most appropriate nursing diagnosis?
 
  A) Acute Confusion
  B) Chronic Confusion
  C) Impaired Memory
  D) Disturbed Sensory Perception

Question 2

A nurse assessing older adults in a long-term care facility is aware that which of the following may result in sensory alterations for these clients?
 
  A) Constipation
  B) Anorexia
  C) Dry skin
  D) Presbyopia

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Answer to Question 1

Ans: A
The nursing diagnosis Acute Confusion is most appropriate. The definition of this diagnosis is the abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, or sleepwake cycles.

Answer to Question 2

Ans: D
The senses of vision, hearing, and touch decline with aging. Common sensory problems include presbyopia, a condition of aging in which decreased elasticity of the lens of the eye hinders accommodation to close vision.