A nurse is conducting discharge teaching for a patient who has seizures and a new prescription for phenytoin. Which statements by the patient indicate a need for further teaching?

Choice A rationale

While toddlers begin to develop a sense of right and wrong, explaining the difference between the two is a complex task that is typically beyond their cognitive abilities at this age.

Choice B rationale

Toddlers are often able to start cooperating in performing simple chores. This is part of their development of independence and understanding of responsibility.

Choice C rationale

Printing letters and numbers is a skill that is typically developed later in childhood, often during the preschool years.

Choice D rationale

While toddlers do begin to develop some independence, they typically still have difficulty separating from their primary caregiver for extended periods of time.

Choice A rationale

Confusion or disorientation can be a normal part of the dying process. As the body systems start to shut down, changes in mental status, including confusion, can occur.

Choice B rationale

Sundowning is a phenomenon that is typically associated with dementia, particularly Alzheimer’s disease, and is characterized by confusion and agitation that gets worse in the late afternoon and evening. It is not specifically associated with the dying process.

Choice C rationale

While anxiety can occur at any stage of illness, it is not the most appropriate response in this context. The family member is specifically asking about confusion, not anxiety.

Choice D rationale

Needing more rest could be a part of the dying process, but it does not directly address the family member’s concern about confusion.