Chapter 31, Cognitive Disorders Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

Delirium develops in a 78-year-old man recovering from emergency hip surgery. He seems to be hallucinating and is mildly confused. Which of the following would the nurse do first?
a. Loosely apply a vest restraint.
b. Obtain an order for haloperidol.
c. Arrange for an unlicensed assistant to sit with the client.
d. Move the client to a room close to the nurse's station.

Asma Venkitta

Numerade Educator

02:53

Problem 2

An 82-year-old woman with no history of neurologic dysfunction is admitted to the hospital with a possible bowel obstruction. She has been vomiting for several days. In addition to managing her medical care, nurses are monitoring the client for signs of delirium. Which of the following assessment findings would suggest that delirium may be developing in the client?
a. The client removes her IV line and tries to climb over the side rails to get out of bed.
b. The client has trouble finding the right word when speaking.
c. The client requests pain medication frequently.
d. The client is not sleeping well at night.

Asma Venkitta

Numerade Educator

Problem 3

A 70-year-old woman with dementia, Alzheimer's type, lives at home with her husband, who is her full-time caregiver. The nurse is teaching the husband about interventions to prevent injury. Which of the following suggestions would be most appropriate?
a. Put childproof caps on bottles containing cleaning fluids.
b. Put cleaning fluids on a high shelf.
c. Lock cleaning fluids in a cabinet in the kitchen.
d. Store cleaning fluids in plain bottles in the garage.

Check back soon!

Problem 4

The nurse questions the wife of a client with dementia to assess if she is at risk for depression or anxiety related to her caregiving activities. Which of the following statements or questions would be most useful in eliciting information?
a. "You must feel overwhelmed by your caregiving responsibilities. Tell me about it."
b. "Why don't you tell me about what your usual day is like?"
c. "Do you feel stressed by your caregiving responsibilities?"
d. "Do you wish you had more help with your husband?"

Check back soon!

Problem 5

A client with early-stage Alzheimer's disease is started on donepezil. The nurse is evaluating the caregiver's understanding of the medication and determines that the caregiver has understood the instructions when she makes which of the following statements?
a. "My husband will only need to take this medication once a day."
b. "This medicine will not affect his stomach and can be taken between meals."
c. "This medication will prevent my husband's memory problems from worsening."
d. "This medication may cause urinary retention. I'll monitor his intake and output."

Check back soon!