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 has an abrupt onset."
"Delirium does not affect a client's sleep cycle."
"Delirium has a slow progression."
"Delirium does not affect a client's perception of her environment."
The Correct Answer is A
Choice A reason:
Delirium is a sudden and acute change in mental status characterized by confusion, disorientation, altered consciousness, and other cognitive disturbances. It has an abrupt onset and is often related to an underlying medical condition, medication, or other factors such as infections or metabolic imbalances.
Choice B reason:
Delirium can indeed affect a client's sleep cycle. It often disrupts sleep patterns and can lead to sleep disturbances
Choice C reason:
Delirium does not have a slow progression. It is typically characterized by a rapid and fluctuating course, and it can develop over hours to days.
Choice D reason:
Delirium does affect a client's perception of their environment. Clients with delirium may experience hallucinations, paranoia, and other alterations in perception. They may be unable to accurately interpret or interact with their surroundings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Needing a new hearing aid every year is not accurate. Hearing aids are not typically replaced annually unless there is a specific issue or significant changes in hearing.
Choice B reason:
"I should gradually increase the time that I wear the hearing aid. “This statement indicates an understanding of the appropriate approach to adapting to a new hearing aid. Gradually increasing the time spent wearing the hearing aid allows the individual to acclimate to the new sounds and avoid overwhelming the auditory system. Starting with shorter periods of use and gradually extending the time can help improve comfort and effectiveness.
Choice C reason:
Leaving the battery in the hearing aid when not in use can lead to battery drain and potential damage. It's important to remove the battery when the hearing aid is not being used.
Choice D reason:
Turning the hearing aid up to the highest volume immediately after insertion is not appropriate. Starting at a lower volume and gradually adjusting as needed is a more appropriate approach to prevent discomfort or potential damage to the ears.
Correct Answer is A
Explanation
Choice A reason:
The client has expressed a lack of understanding about the procedure, which indicates that they may not have received sufficient information or clarification. It is important to notify the provider so they can ensure the client fully understands the procedure before giving informed consent.
Choice B reason:
The nurse should provide basic information and answer questions within their scope, but detailed explanations about the procedure are best provided by the provider who is performing the surgery.
Choice C reason:
While brochures can be helpful, they do not replace the need for direct, clear communication with the healthcare provider about the specific details of the surgery.
Choice D reason:
An incident report is not necessary in this context as the situation is related to informed consent and not an error or safety issue.
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