Author Question: The family of an older client states that the client has been impossible to deal with all of a ... (Read 78 times)

appyboo · **on:** Jun 25, 2018

The family of an older client states that the client has been impossible to deal with all of a sudden and wonders if the client needs to be in a nursing home for dementia. The nurse suspects delirium and should ask the family if:

1. the client has been confused for a long time.
2. the client experienced vomiting and diarrhea recently.
3. the client puts things in odd places.
4. the client gets lost easily in the neighborhood.

Question 2

The family of an older client asks if the client is at risk for developing dementia. What information should the nurse ask the family?

1. If there is a family history of the disease.
2. Can the client remember what was served for dinner last night.
3. If the client keeps forgetting where the keys are
4. If the client remembered today's appointment

Kingjoffery · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Delirium has an abrupt onset, whereas, dementia is a slow progression. Since the family states that the symptoms developed suddenly, the nurse would not ask about long term confusion.
2. Dehydration can cause delirium in the elderly, so the nurse should ask questions that can pinpoint the cause of delirium.
3. Putting things in odd places is a sign of dementia.
4. Getting lost in the neighborhood is a sign of dementia.

Answer to Question 2

Answer: 1

1. The first assessment the nurse inquires about is family history as dementia seems to run in families.
2. Forgetting dinner from the night before is normal aging.
3. Forgetting where the keys are is normal in the aging client.
4. Forgetting the appointment is normal aging.