Author Question: The client's family states, We don't understand what is happening to Dad. He seems better earlier in ... (Read 13 times)

jasdeep_brar · **on:** Jul 19, 2018

The client's family states, We don't understand what is happening to Dad. He seems better earlier in the day and then in the evening his confusion and agitation really increase.

What is the best explanation for what the client is experiencing? 1. Sundowner syndrome
2. Delirium
3. Anxiety
4. Psychosis

Question 2

The nurse is meeting for the first time with a child who was brought to the clinic with a mental health concern.

When planning care for a child with a mental health problem, the nurse must understand both the child's mental health problems and the child's: 1. Previous hospitalizations.
2. Life experiences.
3. Physiological health problems.
4. Artistic ability.

ecox1012 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: Sundowner syndrome, or sundowning, is understood as confused behavior when the environmental stimulation is low. It is seen in clients with delirium and dementia. The client can become increasingly agitated, disoriented, or even aggressive/paranoid or impulsive and emotional later in the day and at night.

Answer to Question 2

2
Rationale: The nurse must understand the pathology involved in the child's mental health problems and the child's life experiences, as they may contribute to the child's problems as well as strengths. Physiological health problems, artistic abilities, and previous hospitalizations are components of the child's life experiences. These must be considered in order to develop interventions that are appropriate to the child.