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Exam (elaborations)

Delirium (Sherpath) Questions and Answers Graded A+

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Delirium (Sherpath) Questions and Answers Graded A+ Within the past 48 hours, Ms. Bader has developed symptoms of arousal, aggression, and hyperactivity. The nurse recognizes these symptoms as being associated with which disorder? Hyperactive delirium Hyperactive delirium is characterized by arousal, aggression, increased strength, and hyperactivity. Which medications are associated with the highest risk of developing delirium? Narcotics Narcotics are highly associated with delirium. The CNS depression that occurs with narcotics is associated with symptoms of delirium. Benzodiazepines Benzodiazepines are highly associated with delirium and can have the same effect on the brain as delirium. Anticholinergic agents Anticholinergic agents are highly associated with delirium and can be the cause of delirium in some patients. Which symptoms are supportive of the DSM-5 diagnosis of delirium? Disorientation Disorientation is a hallmark feature of delirium included in its diagnostic criteria. Impaired memory Impaired memory is a symptom included in the diagnostic criteria of delirium. Disturbance in perception A disturbance in perception, such as illusions, is a feature of delirium. Identify the specific risk associated with each type of delirium. Pulmonary embolism = Hypoactive Aggression = Hyperactive Sudden shift in behavior = Mixed What is the difference in clinical presentation between delirium and amnestic disorders? Amnestic disorders do not impair alertness. Individuals with amnestic disorders do not have an abnormal level of alertness. Which communication techniques would be most helpful for the nurse to use when speaking to Mr. Mackey during the dressing change? Speak slowly in simple sentences to explain the next steps in the dressing change. When the nurse speaks slowly and in simple statements, the patient has an easier time processing the information provided. Explanation of a procedure before it is being done helps to alleviate the patient's fear or anxiety about being touched or about unexpected movements. The nurse conducts the MMSE-2 on Mr. Mackey while his wife is present. The wife gets irritated and says, "Didn't he already do this? Why does he have to answer these questions again?" How should the nurse respond? "This is a screening tool that is done periodically to

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