Author Question: A client is exhibiting signs of mild delirium such as occasional confusion about why he is in the ... (Read 112 times)

lbcchick

  • Hero Member
  • *****
  • Posts: 550
A client is exhibiting signs of mild delirium such as occasional confusion about why he is in the hospital and what day of the week it is.
 
  When developing a care plan, the nurse identifies several strategies to improve the client's cognitive function. Which of the following interventions will be most helpful to the client?
  A) Keep the television on to provide stimulation
  B) Have someone play checkers with the client
  C) Write the date and the times of scheduled activities on a whiteboard
  D) Place the client on bed rest to ensure energy conservation and rapid recovery

Question 2

A client is admitted to the psychiatric unit after taking various medications and illegal substances to get high.
 
  In addition to his underlying diagnosis of bipolar disorder, the client is diagnosed with delirium. Currently, he is experiencing mild hallucinations and confusion. Which intervention should the nurse do first?
  A) Loosely apply a vest restraint
  B) Obtain an order for haloperidol
  C) Arrange for an unlicensed assistant to sit with the client
  D) Organize diversional activities for the client.



pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

Ans: C
Feedback:
The confused client will be calmer when the nurse eliminates environmental stimuli that invite misinterpretation, such as abstract pictures on the wall or excessive background noise and television. Conversely, the nurse can provide environmental cues in the form of clocks, recognizable pictures, and calendars to help restore orientation to time and place. A caveat to reducing environmental stimuli is to not create an understimulating environment, which can be just as detrimental as an overstimulating one. The key is to remove abstract or difficult-to-interpret environmental cues and replace them with simple, easy-to-recognize ones.

Answer to Question 2

Ans: C
Feedback:
The team must structure the client's environment to ensure safety as well as to maximize cognitive abilities and psychological comfort. Providing a private room for the client is beneficial so that staff can minimize noxious and confusing environmental stimuli and maximize the use of a sitter or supportive family members.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

For a complete list of videos, visit our video library