The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?
The family member said the client started to forget people's names.
The confusion began suddenly after taking a newly prescribed antidepressant.
The client states they have been tired and sleeping a lot more than usual.
The family member states the client does not seem to enjoy previous activities.
The Correct Answer is B
Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.
Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.
Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.
Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.
Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.
Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.
Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: While sleep disorders can be associated with eating disorders, breathing-related sleep disorders are not commonly known as a direct comorbidity.
Choice B reason: Schizophrenia is a separate mental health condition and is not typically considered a comorbidity of eating disorders.
Choice C reason: OCD can be a comorbidity of eating disorders, as both involve anxiety and control issues.
Choice D reason: Anxiety is commonly comorbid with eating disorders, as anxiety can contribute to the development and maintenance of these disorders.
Choice E reason: Depression is often comorbid with eating disorders, as the psychological distress related to eating disorders can lead to depressive symptoms.
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