Nr341 Complex Adult Health Exam 1 Textbank Questions With Rationales

A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium? A. A client wants to know the current time while there is a clock on the wall. B. A client attempts to climb out of bed and repeatedly states she must get home. C. A client requests extra blankets when the thermostat in the room indicates 25.6 Degrees C (78 F). D. A client refuses to get out of bed and has no motivation to attend to daily hygiene. B. (Delirium is characterized by a change in cognition that occurs over a short period of time. It results from a secondary physiological condition (e.g., infection, surgery, prolonged hospitalization, hypoxia, fever, medications) and is a transient disorder. Although delirium can occur with any age, it is more common in older adults. It frequently progresses in the evening hours and is sometimes called "sundown syndrome." Delirium is characterized by alterations in memory, agitation, restlessness, illusions, or hallucinations. A client who becomes acutely confused and agitated may be showing manifestations of delirium.) A community health nurse is providing teaching to the family of a client who has primary dementia.