A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
"Delirium does not affect a client's sleep cycle."
"Delirium has a slow progression."
"Delirium has an abrupt onset."
"Delirium does not affect a client's perception of her environment."
The Correct Answer is C
Choice A rationale:
Delirium can affect a client's sleep cycle, often causing disturbances in sleep-wake patterns.
Choice B rationale:
Delirium typically has a rapid onset, not a slow progression.
Choice C rationale:
The correct statement is that delirium has an abrupt onset. Understanding this characteristic helps nurses recognize and address delirium promptly.
Choice D rationale:
Delirium can significantly impact a client's perception of the environment, leading to confusion and disorientation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Room number is not a specific client identifier and does not ensure accurate identification.
Choice B rationale:
Age is not a unique identifier and may not differentiate between clients with the same age.
Choice C rationale:
Bed number alone is not sufficient for accurate client identification.
Choice D rationale:
A photograph is a reliable client identifier and ensures accurate identification before administering medication or performing procedures.
Correct Answer is B
Explanation
- Choice A Rationale: This response may provide factual information, but it does not address the client's immediate emotional concern about the colostomy bag, which can lead to feelings of being dismissed or not heard.
- Choice B Rationale: This is an empathetic response that uses reflective listening. It acknowledges the client's concern directly and invites the client to express more about their feelings and concerns, which can help in providing emotional support and further discussion.
- Choice C Rationale: This response delays addressing the client's concern, which may increase anxiety. It is important to discuss concerns as they arise to provide reassurance and to ensure that the client feels supported and understood.
- Choice D Rationale: This response might help the client to connect with others' experiences, but it does not directly address the client's concern about themselves. It could be seen as deflecting the conversation away from the client's personal worries.
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