Author Question: An older adult with no significant medical history is admitted to the hospital through the emergency ... (Read 54 times)

craiczarry · **on:** Jul 19, 2018

An older adult with no significant medical history is admitted to the hospital through the emergency department after falling and fracturing her humerus. She does not require surgery and will probably be discharged the following day.

Should the nurse be concerned about delirium?
A) No, because the client does not have an underlying disease process
B) No, because the client will not be hospitalized long enough to develop delirium
C) Yes, because of the stress of the injury and the unfamiliar hospital environment
D) Yes, because she may have suffered a traumatic brain injury when she fell

Question 2

An older adult client's recent changes in behavior have been attributed to the presence of a cognitive disorder. Cognitive mental disorders are characterized by which of the following?

A) Impaired adjustment to stressful events
B) Impaired attention, memory, and abstract thinking
C) Negative self-talk and poor coping skills
D) Distorted self-image

amynguyen1221 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
Certain clients are at increased risk for delirium, specifically older adults and cognitively impaired older adults recovering from surgery. Older adults are especially susceptible to delirium disorders because the aging neurologic system is particularly vulnerable to insults caused by underlying systemic conditions. Indeed, delirium often predicts or accompanies physical illness in older adults.

Answer to Question 2

Ans: B
Feedback:
Cognitive mental disorders are characterized by a disruption of or deficit in cognitive function, which encompasses orientation, attention, memory, vocabulary, calculation ability, and abstract thinking.