For several days, an elderly client becomes confused and agitated after supper. This is an example of which of the following?

sundown syndrome

dementia

Age-associated memory impairment

Delirium

Answer and Explanation

The Correct Answer is A

A: Sundown syndrome involves increased confusion and agitation during the late afternoon or evening in individuals with dementia.
B: Dementia is a broader condition that sundown syndrome falls under but does not specifically describe the evening confusion.
C: Age-associated memory impairment refers to normal changes in memory due to aging and does not include confusion and agitation.
D: Delirium is typically acute and can be caused by various factors, not specifically tied to time of day like sundown syndrome.

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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.

A. Quiz the client with orientation questions. B. Allow the client to function independently. C. Prepare the client for discharge. D. Determine the client's level of awareness.

Correct Answer is D

Explanation

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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For several days, an elderly client becomes confused and agitated after supper. This is an example of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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