A 56-year-old patient in the outpatient clinic is diagnosed with ...

[crazycityslicker]

A 56-year-old patient in the outpatient clinic is diagnosed with mild cognitive impairment (MCI).Which action will the nurse include in the plan of care?
 
  a. Suggest a move into an assisted living facility.
  b. Schedule the patient for more frequent appointments.
  c. Ask family members to supervise the patient's daily activities.
  d. Discuss the preventive use of acetylcholinesteras e medications.

Question 2

The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium. The most appropriate action by the nurse is to
 
  a. secure the patient in bed using a soft chest restraint.
  b. ask the health care provider to order an antipsychotic drug.
  c. instruct family members to remain with the patient and prevent injury.
  d. assign unlicensed assistive personnel (UAP) to stay with the patient and offer reorientation.

[Jevvish]

Answer to Question 1

ANS: B
Ongoing monitoring is recommended for patients with MCI. MCI does not interfere with activities of daily living, acetylcholinesteras e drugs are not used for MCI, and an assisted living facility is not indicated for MCI.

Answer to Question 2

ANS: D
The priority goal is to protect the patient from harm. Having a UAP stay with the patient will ensure the patient's safety. Visits by family members are helpful in reorienting the patient, but families should not be responsible for protecting patients from injury. Antipsychotic medications may be ordered, but only if other measures are not effective because these medications have many side effects. Restraints are not recommended because they can increase the patient's agitation and disorientation.

[crazycityslicker]

Thank you

[Jevvish]

Happy to help you