chapter 22 - Chapter 22: Confusion MULTIPLE CHOICE 1. The...

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Chapter 22: Confusion MULTIPLE CHOICE 1. The family of a patient with Alzheimer’s disease asks the nurse, “When will my mother quit being so confused?” The nurse’s response should be based on the fact that dementia is: 1. a short-term confusional state that is typically reversible. 2. a state of confusion caused primarily by medications. 3. confusion that usually begins abruptly and lasts a short period of time. 4. a syndrome that is often chronic and irreversible. ANS: 4 Alzheimer’s disease is a type of dementia that is chronic and irreversible. Delirium is a short-term confusional state that has a sudden onset and is typically reversible. PTS: 1 DIF: Cognitive Level: Comprehension REF: 322-323, Box 22-1 OBJ: 1 TOP: Dementia KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. When admitting a patient who has been diagnosed as having confusion, the most important observation that the nurse should make is the patient’s: 1. eating, drinking, and sleeping patterns. 2. behavior, orientation, memory, and sleep habits. 3. urinary and bowel elimination habits. 4. talking, walking, and sleeping patterns. ANS: 2 The first step in assessing a confusional state is to observe the patient’s behavior, orienta- tion, memory, and sleep habits. PTS: 1 DIF: Cognitive Level: Analysis REF: 323 OBJ: 4 TOP: Confusion Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment 3. While a nurse is dressing a patient with dementia resulting from Huntington’s disease, the patient states, “I don’t want to wear clothes today” and begins to resist help putting on her clothes. The nurse’s best action would be to: 1. tell the patient that she must wear clothes or she can’t see her family later. 2. get another nurse to help her force the patient to get dressed. 3. talk to the patient about her family coming this afternoon and continue to assist the patient with dressing gently. 4. let the patient go without clothes, but make her stay in her room. ANS: 3 When patients with dementia resist activities such as bathing or dressing, it is best to avoid confrontations and divert their attention elsewhere.
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PTS: 1 DIF: Cognitive Level: Application REF: 327 OBJ: 4 TOP: Resisting Care KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity 4. The cognitive developmental approach to caring for patients with dementia adapts interven- tions based on the patient’s: 1. cognitive abilities. 2. physical abilities. 3. emotional abilities. 4. self-care abilities. ANS: 1 The CDA adapts implementations based on the patient’s cognitive abilities. PTS: 1 DIF: Cognitive Level: Knowledge REF: 329 OBJ: 4 TOP: Cognitive Developmental Approach KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 5. The nurse is gathering information from the family of a patient who is experiencing confu- sion. An important question the nurse should ask the family is: 1. “Are you sure she is confused? Maybe she just didn’t hear what you were saying.”
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chapter 22 - Chapter 22: Confusion MULTIPLE CHOICE 1. The...

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