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Chapter 59: Dementia and Delirium Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers $12.49   Add to cart

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Chapter 59: Dementia and Delirium Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers

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Chapter 59: Dementia and Delirium Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers A patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than...

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  • October 23, 2024
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Chapter 59: Dementia and Delirium
Lewis: Medical-Surgical Nursing, 10th
Edition Exam Practice Questions and
Answers

A patient who is hospitalized with pneumonia is disoriented and confused 3 days after


admission. Which information indicates that the patient is experiencing delirium rather than


dementia?


a. The patient was oriented and alert when admitted.


b. The patient's speech is fragmented and incoherent.


c. The patient is oriented to person but disoriented to place and time.


d. The patient has a history of increasing confusion over several years. - Ans:✔✔-ANS: A


The onset of delirium occurs acutely. The degree of disorientation does not differentiate


between delirium and dementia. Increasing confusion for several years is consistent with

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




dementia. Fragmented and incoherent speech may occur with either delirium or dementia.


DIF: Cognitive Level: Understand (comprehension) REF: 1400


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


Which intervention will the nurse include in the plan of care for a patient with moderate


dementia who had a fractured hip repair 2 days ago?


a. Provide complete personal hygiene care for the patient.


b. Remind the patient frequently about being in the hospital.


c. Reposition the patient frequently to avoid skin breakdown.


d. Place suction at the bedside to decrease the risk for aspiration. - Ans:✔✔-ANS: B


The patient with moderate dementia will have problems with short- and long-term memory


and will need reminding about the hospitalization. The other interventions would be used for a


patient with severe dementia, who would have difficulty with swallowing, self-care, and


immobility.


DIF: Cognitive Level: Apply (application) REF: 1403




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity


When administering a mental status examination to a patient with delirium, the nurse should


a. wait until the patient is well-rested.


b. administer an anxiolytic medication.


c. choose a place without distracting stimuli.


d. reorient the patient during the examination. - Ans:✔✔-ANS: C


Because overstimulation by environmental factors can distract the patient from the task of


answering the nurse's questions, these stimuli should be avoided. The nurse will not wait to


give the examination because action to correct the delirium should occur as soon as possible.


Reorienting the patient is not appropriate during the examination. Antianxiety medications


may increase the patient's delirium.




DIF: Cognitive Level: Apply (application) REF: 1416


TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity




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