All of the following are safety guidelines in taking care of a patient with delirium except
Delegate visiting family members to watch delirious patient.
Never leave a patient in acute delirium alone
Used trained sitters to help with safety.
Used effective engagement techniques.
The Correct Answer is A
A. Delegate visiting family members to watch delirious patient is not a recommended safety guideline. While family members can offer support, they are not trained to monitor and manage the safety of a patient with delirium. This could also place undue stress on the family and compromise patient care.
B. Never leave a patient in acute delirium alone is a key safety guideline. Patients with delirium are at a higher risk for falls, injury, and disorientation. Close supervision is necessary to ensure their safety.
C. Use trained sitters to help with safety is a best practice. Trained sitters can ensure that the delirious patient remains safe and prevent them from wandering, falling, or becoming more agitated.
D. Use effective engagement techniques like reorientation and distraction are important in managing delirium. These techniques help to calm the patient, reduce confusion, and improve their comfort level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Feeling that she deserved the physical abuse is not a common reason for denial in elderly abuse cases. While some victims may feel guilt or shame, the more common reason for denial is a fear of the consequences of reporting abuse, such as separation from family or loss of support.
B. Strong belief that nothing could be done to help her could contribute to feelings of helplessness, but it is not the most common reason for denial. Victims of abuse often deny the situation because they fear the consequences of revealing the truth, especially if they feel that no one can help them or that they have no other support systems.
C. Lack of trust that the situation could ever be changed is a possibility, but again, the more pressing concern for elderly victims of abuse is often the fear of being separated from their family or losing their primary source of care and support.
D. Fear of the possibility of being removed from her family is the most likely explanation for the patient's denial. Many elderly individuals who are victims of abuse deny it out of fear that reporting the abuse will lead to them being taken out of their home and placed in a facility, thus separating them from their family members. This fear can be a significant barrier to seeking help or admitting to abuse.
Correct Answer is C
Explanation
A. Gradual progressive onset. Dementia typically has a gradual onset and progresses over time. This is true for most types of dementia, such as Alzheimer's disease, where symptoms slowly worsen over months and years.
B. Can be classified as either primary or secondary. Dementia can be classified as primary (such as Alzheimer's disease or frontotemporal dementia, where the brain itself is primarily affected) or secondary (where dementia is caused by another condition, such as a stroke or a brain injury).
C. It does not interfere with navigation of daily life. This statement is incorrect. One of the defining features of dementia is that it does interfere with daily life. As cognitive functions decline, individuals often have difficulty with tasks such as managing finances, cooking, driving, and maintaining personal hygiene.
D. It is irreversible. While some types of dementia (like Alzheimer's disease) are irreversible and progressive, there are certain conditions, like some forms of vascular dementia, where the progression can be slowed or stabilized if the underlying cause is addressed. However, many forms of dementia are indeed irreversible.
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