The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?
Cognitive dysfunction
Alzheimer's disease
Sundowning syndrome
Night-time confusion
The Correct Answer is C
A. Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment.
B. Alzheimer's disease: This is a specific type of dementia, but it doesn’t specifically describe the timing of confusion.
C. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It’s commonly seen in individuals with dementia.
D. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk.
B. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night.
C. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment.
D. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.
Correct Answer is D
Explanation
A. Testing visual acuity: This assesses cranial nerve II (Optic nerve).
B. Observing for facial symmetry: This assesses cranial nerve VII (Facial nerve).
C. Eliciting the gag reflex: This assesses cranial nerves IX and X (Glossopharyngeal and Vagus nerves).
D. Checking the pupillary response to light: This assesses cranial nerve III (Oculomotor nerve), which controls pupil constriction and eye movements.
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