A nurse is explaining the early stage of the dying process to a patient’s family.
A family member mentions, “My parent seems really confused at times.”. What is the most appropriate response from the nurse?
This is a normal cognitive change that is happening.
Your parent is experiencing sundowners.
Your parent might be feeling anxious.
Your parent might need more rest.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
In ARDS, impaired carbon dioxide elimination due to shunting can occur. Shunting refers to the diversion of blood from areas of the lung that are ventilated to areas that are not, leading to impaired gas exchange.
Choice B rationale
Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch is not a typical finding in ARDS3.
Choice C rationale
Hypoxemia due to dead space is not a typical finding in ARDS. Dead space refers to areas of the lung that are ventilated but not perfused.
Choice D rationale
Decreased pulmonary compliance due to stiffness is a typical finding in ARDS. The lungs become stiff and less compliant due to the accumulation of fluid and inflammatory cells in the alveoli and interstitial space.
Correct Answer is D
Explanation
Choice A rationale
Bacteria are not a known risk factor for osteoarthritis. Osteoarthritis is a degenerative joint disease, not an infectious disease caused by bacteria.
Choice B rationale
Diuretics are a type of medication used to remove excess water from the body. They are not a known risk factor for osteoarthritis.
Choice C rationale
Aging is a risk factor for osteoarthritis. The risk of developing osteoarthritis increases with age.
Choice D rationale
Obesity is a significant risk factor for osteoarthritis. Excess weight puts additional stress on weight-bearing joints, such as the knees and hips, which can lead to the development of osteoarthritis.
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