Author Question: A patient diagnosed with delirium is experiencing perceptual alterations. Which environmental ... (Read 57 times)

ec501234 · **on:** Jul 19, 2018

A patient diagnosed with delirium is experiencing perceptual alterations. Which environmental adjustment should the nurse make for this patient?

a. Provide a well-lit room without glare or shadows. Limit noise and stimulation.
b. Maintain soft lighting day and night. Keep a radio on low volume continuously.
c. Light the room brightly day and night. Awaken the patient hourly to assess mental status.
d. Keep the patient by the nurse's desk while awake. Provide rest periods in a room with a television on.

Question 2

Which assessment finding would be likely for a patient experiencing a hallucination? The patient:

a. looks at shadows on a wall and says, I see scary faces.
b. states, I feel bugs crawling on my legs and biting me.
c. reports telepathic messages from the television.
d. speaks in rhymes.

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

Answer to Question 1

ANS: A
A quiet, shadow-free room offers an environment that produces the fewest sensory perceptual distortions for a patient with cognitive impairment associated with delirium. The other options have the potential to produce increased perceptual alterations.

Answer to Question 2

ANS: B
A hallucination is a false sensory perception occurring without a corresponding sensory stimulus. Feeling bugs on the body when none are present is a tactile hallucination. Misinterpreting shadows as faces is an illusion. An illusion is a misinterpreted sensory perception. The other incorrect options apply to thought insertion and clang associations.