A new nurse from another country is caring for a client on the ...

[elizabeth18]

A new nurse from another country is caring for a client on the unit. The new nurse asks the preceptor to explain the difference between dementia and delirium so that appropriate care can be planned for the client.
 
  The best response by the preceptor is which of the following? 1. The cause of delirium is unknown.
   2. Delirium develops over several weeks.
   3. Delirium is often confused with depression in clients over the age of 60.
   4. Delirium is a common occurrence in hospitalized clients over the age of 60.

Question 2

The family member of a client diagnosed with bipolar disorder asks the nurse what that is. The best response by the nurse would be:
 
  1. Bipolar disorder means there are cycles of depression as well as hyperactivity, or mania..
   2. Bipolar disorder is just another type of depression, except depression occurs in cycles..
   3. Bipolar disorder is a type of depression that includes attention deficit disorder symptoms..
   4. Bipolar disorder just means that the mood alternates with the seasons, and it becomes worse in the winter..

[briseldagonzales]

Answer to Question 1

4. Delirium is a common occurrence in hospitalized clients over the age of 60.

Rationale:
Delirium is commonly experienced by hospitalized clients over the age of 60. 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 depression.

Answer to Question 2

1. Bipolar disorder means there are cycles of depression as well as hyperactivity, or mania..

Rationale:
Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit hyperactivity disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.