NUR 371 FINAL EXAM |COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS| 2026 LATEST UPDATED| A+
Delirium - (answer)Acute cognitive disturbance, often reversible, caused by a physiological issue
(infection, medication, etc.).
Treatment of Delirium - (answer)Treat as a medical emergency.
Fix underlying issue
Cues of Delirium - (answer)1. Inability to focus, sustain, and shift attention
2. Impaired level of cognition
3. Abrupt onset with fluctuation lucidity/disorganized thinking
4. Disorientation (time and place, rarely person)
5. Poor memory
6. Delusional thinking
7. Hallucinations
Priority Nursing Diagnosis for a Client with (fluctuating LOC, disturbed orientation, and
visual/tactile hallucinations) - (answer)Priority Concern: Safety and Physiological Stability
Nursing Dx: Risk for Injury
,Dementia - (answer)Deterioration of cognitive functioning and global impairment of cognitive
functioning.
Chronic condition effecting both memory and higher level functioing.
Types of Dementia (6) - (answer)Alzheimer's
Cerebrovascular Disease
Frontotemporal Lobar Degeneration
Lewy Body Disease
Parkinson's Disease
Mixed Pathologies
Intervention for Reorientation of a Client with Dementia - (answer)Unconditioned Positive
Regard: acceptance of the person no matter what they say/do.
Focus on Familiarity: Ask about their life, invite family to visit.
Priority Nursing Intervention for Both Delirium and Dementia - (answer)Primary Concern:
patient safety
Nursing Dx: Risk for Injury/Falls
, Geriatric Depression Scale (GDS) - (answer)Screening tool for older adults (65+) who can
respond to simple questions.
Useful in community, primary care, and long-term care.
Not diagnostic and not appropriate during delirium due to impaired attention/cognition.
Which Healthcare Professional is Responsible for Safety During Restraint? - (answer)The nurse
is responsible for patients' safety during restraint use. However, we want to minimize restraint
use when appropriate (least restrictive).
How to Identify When an Elderly Patient is at Risk for ETOH Misuse? - (answer)Precursors:
retirement, widowhood, loneliness
Risk Factors: male, single, less than HS education, low income, smoking.
Advance Directive - (answer)If a patient is incapacitated, they have their wishes legally written
so that they can still be taken into consideration.
(DNR, DNI, guardianship, etc.)
Nursing Intervention for Manipulation - (answer)Set Limits! - Pt. is inciting unit violence when
participating in manipulation.
SOLUTIONS| 2026 LATEST UPDATED| A+
Delirium - (answer)Acute cognitive disturbance, often reversible, caused by a physiological issue
(infection, medication, etc.).
Treatment of Delirium - (answer)Treat as a medical emergency.
Fix underlying issue
Cues of Delirium - (answer)1. Inability to focus, sustain, and shift attention
2. Impaired level of cognition
3. Abrupt onset with fluctuation lucidity/disorganized thinking
4. Disorientation (time and place, rarely person)
5. Poor memory
6. Delusional thinking
7. Hallucinations
Priority Nursing Diagnosis for a Client with (fluctuating LOC, disturbed orientation, and
visual/tactile hallucinations) - (answer)Priority Concern: Safety and Physiological Stability
Nursing Dx: Risk for Injury
,Dementia - (answer)Deterioration of cognitive functioning and global impairment of cognitive
functioning.
Chronic condition effecting both memory and higher level functioing.
Types of Dementia (6) - (answer)Alzheimer's
Cerebrovascular Disease
Frontotemporal Lobar Degeneration
Lewy Body Disease
Parkinson's Disease
Mixed Pathologies
Intervention for Reorientation of a Client with Dementia - (answer)Unconditioned Positive
Regard: acceptance of the person no matter what they say/do.
Focus on Familiarity: Ask about their life, invite family to visit.
Priority Nursing Intervention for Both Delirium and Dementia - (answer)Primary Concern:
patient safety
Nursing Dx: Risk for Injury/Falls
, Geriatric Depression Scale (GDS) - (answer)Screening tool for older adults (65+) who can
respond to simple questions.
Useful in community, primary care, and long-term care.
Not diagnostic and not appropriate during delirium due to impaired attention/cognition.
Which Healthcare Professional is Responsible for Safety During Restraint? - (answer)The nurse
is responsible for patients' safety during restraint use. However, we want to minimize restraint
use when appropriate (least restrictive).
How to Identify When an Elderly Patient is at Risk for ETOH Misuse? - (answer)Precursors:
retirement, widowhood, loneliness
Risk Factors: male, single, less than HS education, low income, smoking.
Advance Directive - (answer)If a patient is incapacitated, they have their wishes legally written
so that they can still be taken into consideration.
(DNR, DNI, guardianship, etc.)
Nursing Intervention for Manipulation - (answer)Set Limits! - Pt. is inciting unit violence when
participating in manipulation.
