NURSING 1950 Mental Health Module 5 (GRADED A+)110/110 POINTS

NURSING 1950 Mental Health Module 5 (GRADED A+) .........................................104. A hospitalized patient diagnosed with delirium misinterprets reality, while a patient diagnosed with dementia wanders about the home. Which outcome is the priority in both scenarios? The patients will: remain safe in the environment Risk for injury is the nurse's priority concern. Safety maintenance is the desired outcome. 105. An elderly patient is admitted with delirium secondary to a urinary tract infection. The family asks whether the patient will ever recover. Select the nurse's best response. "The confusion will probably get better as we treat the infection." Usually, as the underlying cause of the delirium is treated, the symptoms of delirium clear. 106. An elderly person presents with symptoms of delirium. The family reports, "Everything was fine until yesterday." What is the most important assessment information for the nurse to gather? A list of all medications the person currently takes Delirium is often the result of medication interactions or toxicity. 107. A nurse gives anticipatory guidance to the family of a patient diagnosed with stage 3, mild cognitive decline Alzheimer's disease. Which problem common to that stage should the nurse address? Communication deficits Families should be made aware that the patient will have difficulty concentrating and following or carrying on in-depth or lengthy conversations. 108. A patient diagnosed with moderately severe Alzheimer's disease has a selfcare deficit of dressing and grooming. Designate appropriate interventions to include in the patient's plan of care. Select all that apply. - Provide clothing with elastic and hook-and-loop closures - Label clothing with the patient's name and name of the item -If the patient resists dressing, use distraction and try again after a short interval Providing clothing with elastic and hook-and-loop closures facilitates patient independence. Labeling clothing with the patient's name and the name of the item maintains patient identity and dignity (provides information if the patient has agnosia). When a patient resists, it is appropriate to use distraction and try again after a short interval because patient moods are often labile. The patient may be willing to cooperate given a later opportunity. 109. Which assessment findings would the nurse expect in a patient experiencing delirium? Select all that apply. -Impaired level of consciousness - Disorientation to place, time - Wandering attention Disorientation to place and time is an expected finding. Orientation to person (self) usually remains intact. Attention span is short, and difficulty focusing or shifting attention as directed is often noted. Patients with delirium commonly experience illusions and hallucinations. Fluctuating levels of consciousness are expected. 110. Which nursing diagnoses are most applicable for a patient diagnosed with severe Alzheimer's disease? Select all that apply. - Urinary incontinence - Disturbed sleep pattern - Risk for caregiver role strain The correct answers are consistent with problems frequently identified for patients with late-stage Alzheimer's disease.