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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Ageism refers to stereotyping, prejudice, or discrimination based on a person's age. This can occur against any age group but is often directed at older adults, where they may be perceived as less capable, frail, or irrelevant due to their age.
B. Sexism refers to discrimination based on gender, usually against women, but can apply to any gender. It involves biased attitudes, behaviors, or practices that disadvantage individuals based on their gender.
C. Bias refers to a tendency to favor or prejudice one group over another. While bias can be related to age, it is a broader term and is not specific to age groups.
D. Discrimination is the unjust or prejudicial treatment of different categories of people or things, and it can involve ageism, sexism, racism, etc. However, ageism is a more specific term when the discrimination is based on age.

A. will help you leave this relationship" B. You need to report your husband to the police" C. Let's develop a safety plan for repeated violence" D. Here is a list of services that can help you"

Correct Answer is C

Explanation

A. "I will help you leave this relationship" is not an appropriate response because it assumes the nurse knows what is best for the patient and does not respect her autonomy or immediate choices. The patient has clearly stated she does not want to leave the relationship at this time.
B. "You need to report your husband to the police" is an invasive and potentially coercive statement. While reporting abuse is important, the nurse should provide information and support, not force actions the patient may not be ready to take. Pressuring her could escalate the situation and harm the patient’s trust in healthcare providers.
C. "Let's develop a safety plan for repeated violence" is the most supportive and patient-centered response. It acknowledges the reality of the abuse while offering a non-judgmental, practical approach to help her stay safe. The nurse is giving the patient the option to make informed decisions about her safety, which is empowering.
D. "Here is a list of services that can help you" is helpful, but it lacks the active engagement the patient may need. Developing a personalized safety plan is more immediate and relevant for someone experiencing ongoing abuse.

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All of the following are safety guidelines in taking care of a patient with delirium except

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Any stereotyping, prejudice, or discrimination against the older adult, or in fact any age group is defined as what:

Correct Answer is A

Explanation

A female comes to the Emergency Department with a broken wrist and severe bruises from a beating by her husband. She states that she does not want to leave the relationship at this time. The most appropriate response by the nurse is:

Correct Answer is C

Explanation

The nursing action most likely to be effective in improving the level of orientation of a client experiencing dementia is:

Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?

A client is diagnosed with Alzheimer's disease. He tells the nurse, "I have a date tonight for Valentine's dance." The most appropriate response is:

What is the most common cause of dementia?

All of the following are risk factors for delirium except ̧

Progressive brain disorder that causes uncontrolled movements, emotional problems, and cognitive dysfunction.

A hospitalized patient experiencing delirium misinterprets reality and a patient diagnosed with dementia wanders about the home. Which outcome is the priority in both scenarios?

All of the following are symptoms of delirium tremens except