A hospitalized elderly client is recovering from an acute ...

[ishan]

A hospitalized elderly client is recovering from an acute illness. As the client nears the end of his hospitalization, he questions the nurse about medications and care after discharge. The gerontological nurse should:
 
  1. Informing the physician the client needs to go to a nursing home.
  2. Assess the client's independence and ability to function in his own home before discharge.
  3. Tell the client not to worry about going home.
  4. Invite the client's family to come to the hospital so the nurse can explain the client's care to them.

Question 2

Which of the following statements is correct regarding an elderly client's risk of developing both dementia and delirium?
 
  1. Delirium is easily distinguished from dementia.
  2. Dementia is reversible and treatable.
  3. Delirium is an acute and reversible syndrome.
  4. Dementia is the only condition that is characterized by changes in memory, judgment, language, mathematic calculation, abstract reasoning, and problem-solving ability.

[sierrahalpin]

Answer to Question 1

Correct Answer: 2
Rationale 1: Informing the physician the client needs long-term care is inappropriate at this point.
Rationale 2: Older adults often perceive that being in the hospital could change their ability to be autonomous and independent. As a result, the nurse needs to assess the older adult's stage or perception of need for control and autonomy during his hospitalization and his fears and hopes about being discharged from the hospital setting.
Rationale 3: Telling the client not to worry is not therapeutic and does not address his concerns.
Rationale 4: The client is a capable adult and should be included in all decision-making situations not having them deferred to the family.

Answer to Question 2

Correct Answer: 3
Rationale 1: Both dementia and delirium have many of the same characteristics. .
Rationale 2: . Delirium is an acute, reversible syndrome; dementia is not..
Rationale 3: Once the underlying pathology is treated, the delirium disappears.
Rationale 4: Both dementia and delirium have many of the same characteristics..
Global Rationale:

[ishan]

YES! Correct, THANKS for helping me on my review

[Alyson.hiatt@yahoo.com]

TYSM