The staff on a care area that has a high percentage of clients ...

[stevenposner]

The staff on a care area that has a high percentage of clients with confusion attends an educational program on delirium management. Which statement, made by a staff nurse, indicates that teaching has been effective?
 
  A) It is important to provide education for family members as needed.
  B) Sensory deprivation and overstimulation can worsen the symptoms the client exhibits.
  C) Decreasing all stimulation in the client's room is essential.
  D) The family should involve the client in all conversations and interactions involving care.

Question 2

The nurse is explaining the difference between delirium and dementia to a family member of a client with confusion. Which statement is appropriate for the nurse to include?
 
  A) The cause of delirium is unknown.
  B) Dementia develops suddenly.
  C) Delirium is a common occurrence in older adult clients who are hospitalized.
  D) Delirium is often confused with depression in older adult clients.

[ky860224]

Answer to Question 1

Answer: B

The structure of the client's environment should support cognitive functions. Aids for hearing or vision are necessary to prevent sensory loss or distortion. Familiar objects from home, such as slippers, robe, and photographs, may help with orientation. Easily read clocks, orientation boards, and a structured routine that includes physical activity and socialization without sensory overload will also help with orientation. Clients with delirium can exhibit hyperactivity when overstimulated.

Answer to Question 2

Answer: C

Delirium is commonly experienced by older adults who are hospitalized. Delirium is an acute rapid-onset condition with an etiology that can be traced to a known cause. The cause of delirium can often be determined, and removal of the cause will usually result in complete recovery. The symptoms of delirium are not similar to those of depression.

[stevenposner]

Excellent

[nanny]

TYSM