Chapter 13: Delirium and DementiaLinton: Medical-Surgical Nursing, 7th Edition questions with 100% correct answers Download for an A+

1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should the nurse base a response? a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually begins abruptly and lasts a short period. d. It is a syndrome that is chronic and irreversible. ANS: D Alzheimer disease is a type of dementia that is chronic and irreversible. Delirium is a shortterm confusional state that has a sudden onset and is typically reversible. DIF: Cognitive Level: Knowledge REF: p. 205 OBJ: 2 TOP: Dementia KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort 2. A nurse is admitting a patient who has been diagnosed as having confusion. What is the most important observation that the nurse should make regarding this patient? a. Eating, drinking, and sleeping patterns b. Behavior, orientation, memory, and sleeping habits c. Urinary and bowel elimination habits d. Talking, walking, and sleeping patterns ANS: B The first step in assessing a confusional state is to observe the patient’s behavior, orientation, memory, and sleeping habits. DIF: Cognitive Level: Comprehension REF: p. 206 OBJ: 6 TOP: Confusion Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 3. While a nurse is dressing a patient who has dementia as a result of Huntington disease, the patient states, “I don’t want to wear clothes today” and begins to resist help putting on her clothes. What is the nurse’s most appropriate action? a. Tell the patient that she must wear clothes or she cannot see her family later. b. Get another nurse to help her force the patient to get dressed. c. Talk to the patient about her family coming this afternoon and continue to assist the patient gently with dressing. d. Let the patient go without clothes but make her stay in her room. ANS: C When patients with dementia resi