A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?

Gradual onset

Impaired judgment

Difficulty swallowing

Slowed, flat speech

Answer and Explanation

The Correct Answer is B

Choice A reason: Delirium is characterized by an acute onset, typically developing over hours to a few days. It is a sudden change in mental status that differs from conditions like dementia, which have a gradual onset. Therefore, gradual onset is not a characteristic finding of delirium.

Choice B reason: Impaired judgment is a common finding in delirium. Clients with delirium often have fluctuating levels of consciousness, attention deficits, and disorganized thinking, all of which can contribute to poor judgment. This cognitive impairment can lead to unsafe behaviors and difficulty in making decisions.

Choice C reason: Difficulty swallowing, or dysphagia, is not typically associated with delirium. Dysphagia is more often related to neurological conditions such as stroke, Parkinson's disease, or other disorders affecting the muscles involved in swallowing. While clients with delirium may have various physical symptoms due to underlying causes, difficulty swallowing is not a direct symptom of delirium itself.

Choice D reason: Slowed, flat speech is not a typical finding in delirium. Clients with delirium may exhibit rapid, incoherent, or disorganized speech due to their altered mental state. Slowed, flat speech is more commonly seen in conditions like depression or certain types of dementia rather than in acute delirium.

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Correct Answer is A

Explanation

Choice A reason: Individuals with dependent personality disorder often struggle with making simple decisions without excessive advice and reassurance from others. They have a strong need for others to take responsibility for major areas of their lives and can feel helpless when alone. This indecisiveness is a hallmark of the disorder and stems from their lack of self-confidence and reliance on others for guidance and support.

Choice B reason: Enjoying spending time alone is not a characteristic of dependent personality disorder. In fact, individuals with this disorder typically avoid being alone and seek constant companionship and support from others. They may go to great lengths to be taken care of and may feel uncomfortable or distressed when they are by themselves.

Choice C reason: Extreme perfectionism is more commonly associated with obsessive-compulsive personality disorder (OCPD) rather than dependent personality disorder. While individuals with dependent personality disorder may exhibit some perfectionistic traits, it is not a defining characteristic of the disorder. The primary issues in dependent personality disorder revolve around dependency and fear of abandonment.

Choice D reason: Confrontational behavior is not typical of dependent personality disorder. Individuals with this disorder tend to be passive, submissive, and avoidant of conflict. They are more likely to acquiesce to others' demands and avoid confrontations in order to maintain relationships and ensure they are taken care of. This behavior contrasts with the confrontational tendencies seen in other personality disorders.

A. This medication is known to cause dependence. B. Avoid consuming large amounts of leafy, green vegetables while taking this medication. C. It can take several weeks before you notice an effect from the medication. D. If a dose is missed, you can take the missed dose along with the next scheduled dose.

Correct Answer is C

Explanation

Choice A reason: This statement is incorrect. Buspirone is not known to cause dependence, which is one of the reasons it is often preferred for the treatment of generalized anxiety disorder. Unlike benzodiazepines, which can lead to dependence and withdrawal symptoms, buspirone does not have these effects, making it a safer long-term option for managing anxiety.

Choice B reason: There is no specific dietary restriction regarding the consumption of leafy green vegetables when taking buspirone. This statement might confuse the client unnecessarily. Dietary interactions are more commonly associated with certain other medications, such as MAO inhibitors, which require patients to avoid tyramine-rich foods to prevent hypertensive crises. However, this does not apply to buspirone.

Choice C reason: This statement is accurate and important for the client to understand. Buspirone typically takes several weeks to achieve its full therapeutic effect. Clients should be advised to continue taking the medication as prescribed and not to expect immediate relief of anxiety symptoms. This information helps set realistic expectations and encourages adherence to the treatment plan.

Choice D reason: This statement is incorrect and could lead to improper medication administration. If a dose of buspirone is missed, it should not be doubled up with the next dose. Instead, clients should take the missed dose as soon as they remember unless it is almost time for their next scheduled dose. Doubling up on doses can increase the risk of side effects and is not a safe practice.

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A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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