Author Question: What environmental conditions should the nurse arrange for a patient with delirium and altered ... (Read 38 times)

Redwolflake15 · **on:** Jul 19, 2018

What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of her environment?

a. Provide a quiet, well-lit room without glare or shadows.
b. Have the patient sit by the nurse's desk while awake.
c. Reduce room lighting to minimize overstimulation.
d. Keep a radio on continuously to reduce isolation.

Question 2

The client has been admitted to the medical unit for unexplained weight loss and fatigue. He does not speak except to answer questions, and he refuses to interact with other people ex-cept when necessary.

The coping mechanism he is using to deal with his hospitalization is called 1. anger.
2. shock.
3. anxiety.
4. withdrawal.

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

Answer to Question 1

A
A quiet, well-lit, shadow-free room offers an environment that minimizes opportunities to misperceive reality or become overwhelmed by stimuli. Having the patient sit at the nurses' station facilitates observation but does not necessarily reduce misperceptions. Reducing room lighting makes objects less easily seen and more likely to be misinterpreted or misperceived. Continuous exposure to a radio could result in stimulus overload, aggravating the patient's cognitive impairment.

Answer to Question 2

4
Many hospitalized clients withdraw into themselves and interact only when necessary in order to focus their attention inward and replace the energies that have been drained by ill-ness, crisis, and hospitalization.