A nurse is caring for a client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

Quiz the client with orientation questions.

Allow the client to function independently.

Prepare the client for discharge.

Determine the client's level of awareness.

Answer and Explanation

The Correct Answer is D

A: Quizzing the client might be part of an assessment but not the initial action.

B: Allowing independent function is important, but assessing cognitive function to tailor support is essential first.
C: Preparing for discharge might be premature without assessing readiness and stability.

D: Assessing awareness and cognitive function helps guide appropriate support and independence levels.

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Correct Answer is A

Explanation

A: SSRIs are often the first-line treatment for depression in older adults due to a favorable side effect profile compared to other antidepressants.
B: Benzodiazepines are not typically used as they can increase the risk of falls and confusion.
C: Hypnotics are used for sleep issues but are not antidepressants.

D: Monoamine oxidase inhibitors are effective but often reserved for cases where other treatments have failed due to their dietary restrictions and side effects.

A. Use an overhead loudspeaker to announce events. B. Post a written schedule of daily activities. C. Allow the client to choose free-time activities D. Provide a consistent daily routine.

Correct Answer is D

Explanation

A: Using an overhead loudspeaker can be disorienting or frightening for clients with dementia.
B: A written schedule may not be helpful if the client has difficulty reading or understanding due to cognitive decline.
C: While allowing choices is good, it can be overwhelming for someone with dementia depending on their cognitive ability.
D: A consistent routine helps provide structure and predictability, which can reduce confusion and anxiety in clients with dementia.

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A nurse is caring for a client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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