A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

Have the client sit by the nurse's desk while awake in a room with the television on

Provide a well-lit room without glare or shadows and limit noise

Keep the room shadowy with soft lighting around the clock, and keep a radio on continuously

Light the room brightly around the clock and awaken hourly to check mental status

Answer and Explanation

The Correct Answer is B

B. This option promotes a calming and supportive environment that minimizes sensory stimuli and helps maintain orientation, reducing the risk of exacerbating symptoms of delirium and illusions.

A. Having the client sit by the nurse's desk may provide some supervision and reassurance, but keeping the television on can contribute to sensory overload and increase confusion, especially if the client is experiencing illusions.

C. Keeping the room shadowy with soft lighting and continuously playing a radio may create an environment that is disorienting and confusing for the client with delirium.

D. Maintaining bright lighting around the clock may disrupt the client's sleep-wake cycle and exacerbate symptoms of delirium. Interrupting the client's sleep by awakening hourly for mental status checks can also contribute to sleep deprivation and increase agitation and confusion

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Correct Answer is ["A","B","D","E"]

Explanation

A. Providing frequent meals and snacks is generally beneficial, it’s essential to focus on nutritious options.

C. Manic episodes can lead to impulsive behavior, increased activity, and risk-taking. Close monitoring ensures early detection of any safety concerns, such as self-harm or aggression.
D. Manic clients are often hypersensitive to stimuli, and a calm, low-stimulation environment can help reduce agitation and prevent exacerbation of symptoms.
E. While adequate rest is essential, discouraging daytime naps may help regulate the client’s sleep patterns and prevent excessive energy levels associated with mania.

B. Regular weight monitoring is essential for assessing overall health, but it may not be a priority specifically related to mania.

A. People taking methadone run the same risks associated with IV drug use as those taking heroin. B. Methadone will meet the physical need for opiates without producing the cravings for more. C. Unlike heroin, methadone is non-addicting. D. Methadone will produce a high similar to heroin.

Correct Answer is B

Explanation

B. Methadone is a long-acting opioid agonist that helps stabilize individuals with opioid dependence by alleviating withdrawal symptoms and reducing drug cravings.

A. Methadone maintenance treatment (MMT) is a recognized and evidence-based approach for managing opioid dependence. When used as prescribed under the supervision of healthcare professionals, methadone is administered orally in controlled doses

C. Methadone is an opioid medication with the potential for dependence and addiction, especially when used improperly or in higher doses than prescribed.

D. Methadone is a long-acting opioid agonist that acts on the same receptors in the brain as heroin and other opioids. However, when used as prescribed for opioid dependence treatment, methadone is administered in controlled doses that are carefully titrated to stabilize individuals without producing euphoria or intoxication.

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A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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Correct Answer is B

Explanation

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