Test Bank for Toward Healthy Aging,
11th EditionChapter 26: Care of
Individuals With Neurocognitive
Disorders 11th Edition by Theris A.
Touhy
1. The nurse is caring for an older client who experienced a hip replacement surgery 10 hours
ago. Which intervention will help minimize this client's risk of developing delirium?
a. Requesting that staff offer fluids each time they interact with the client
b. Medicating the client to best facilitate restorative sleep
c. Encouraging the client to remain still and thus minimize pain
d. Suggesting that visitors are limited to family members only - ANSANS: A
Encouraging fluid intake will help prevent dehydration, which is a major contributor to the
development of delirium. Avoid use of sleeping medications—use music, warm milk, or
noncaffeinated herbal tea to alleviate discomfort and encourage sleep. Avoid excessive bed
rest; institute early mobilization as appropriate. It is appropriate to have family and visitors
available to the client, within reason, since doing so will help stimulate the client cognitively
2. Which intervention best addresses the principle that is the basis for communicating with a
client experiencing postsurgical delirium?
a. Reminding the client that delirium is generally acute and reversible
b. Assuming that the client's statements are an attempt to express needs
c. Allowing the client sufficient time to formulate an answer to questions
d. Using nonverbal communication techniques to communicate with the client - ANSANS: B
Assuming that communication and behavior are meaningful and an attempt to tell us something
or express needs is vital to effective care planning for the delirious client. The acute and
reversible nature of the disorder does not have impact on the need for effective communication.
The remaining options focus on the client's communication and not the greater issue of effective
intercommunication between client and staff.
4. An older client diagnosed with dementia resides with his daughter. When the homecare nurse
visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her
when she was attempting to feed him. She states, "I don't know why he hates me and wants to
11th EditionChapter 26: Care of
Individuals With Neurocognitive
Disorders 11th Edition by Theris A.
Touhy
1. The nurse is caring for an older client who experienced a hip replacement surgery 10 hours
ago. Which intervention will help minimize this client's risk of developing delirium?
a. Requesting that staff offer fluids each time they interact with the client
b. Medicating the client to best facilitate restorative sleep
c. Encouraging the client to remain still and thus minimize pain
d. Suggesting that visitors are limited to family members only - ANSANS: A
Encouraging fluid intake will help prevent dehydration, which is a major contributor to the
development of delirium. Avoid use of sleeping medications—use music, warm milk, or
noncaffeinated herbal tea to alleviate discomfort and encourage sleep. Avoid excessive bed
rest; institute early mobilization as appropriate. It is appropriate to have family and visitors
available to the client, within reason, since doing so will help stimulate the client cognitively
2. Which intervention best addresses the principle that is the basis for communicating with a
client experiencing postsurgical delirium?
a. Reminding the client that delirium is generally acute and reversible
b. Assuming that the client's statements are an attempt to express needs
c. Allowing the client sufficient time to formulate an answer to questions
d. Using nonverbal communication techniques to communicate with the client - ANSANS: B
Assuming that communication and behavior are meaningful and an attempt to tell us something
or express needs is vital to effective care planning for the delirious client. The acute and
reversible nature of the disorder does not have impact on the need for effective communication.
The remaining options focus on the client's communication and not the greater issue of effective
intercommunication between client and staff.
4. An older client diagnosed with dementia resides with his daughter. When the homecare nurse
visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her
when she was attempting to feed him. She states, "I don't know why he hates me and wants to
