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
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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Related Questions
Correct Answer is D
Explanation
A. Encouraging client input in the treatment plan is important for promoting client autonomy and engagement in their care. However, while it is a valuable intervention, it may not address the immediate needs or safety concerns of the client with histrionic personality disorder.
B.Clients with HPD may interpret vague or ambiguous communication in exaggerated ways. Concrete language helps prevent misunderstandings and maintains a therapeutic relationship. However, this is not the prority.
C. While assertiveness is valuable, it is not the primary focus at this stage.
D. Managing the clients behavior within the group is the priority intervention for the client who has histrionic personality disorder because these clients display extreme attention seeking behaviors and are often impulsive.
Correct Answer is B
Explanation
B. Anxiolytics are prescribed to reduce symptoms of anxiety, such as nervousness or restlessness, which can interfere with problem-solving and decision-making abilities. By alleviating anxiety symptoms, the medication can help the client focus more effectively on addressing underlying issues or stressors.
A. While anxiolytics can be effective in managing acute symptoms of anxiety, they are not typically intended for long-term use.
C. Many anxiolytic medications, particularly benzodiazepines, carry a risk of dependence and addiction if used improperly or for an extended period.
D. While anxiolytics can help alleviate symptoms of anxiety, they may not completely eliminate anxiety in all situations.
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