A nurse is collecting data from a client who is experiencing delirium. Which of the following findings should the nurse expect?

Echopraxia

Aphasia

Acute onset of confusion

Inability to read

Answer and Explanation

The Correct Answer is C

Choice A reason: Echopraxia, mimicking movements, is linked to psychiatric conditions like schizophrenia, not delirium. Delirium features disordered cognition from physiological causes (e.g., infection), not motor imitation. Scientifically, this lacks relevance to delirium’s acute, fluctuating mental state driven by underlying medical issues.

Choice B reason: Aphasia, a language deficit, stems from brain damage (e.g., stroke), not delirium’s reversible cognitive disruption. Delirium affects attention and awareness, not specific linguistic skills. Scientifically, this is distinct from delirium’s diffuse, temporary confusion tied to systemic or metabolic disturbances.

Choice C reason: Acute onset of confusion defines delirium, a sudden cognitive decline from causes like infection or drugs. It’s reversible with treatment, featuring inattention and disorientation, aligning with scientific criteria as a hallmark symptom distinguishing it from chronic conditions like dementia.

Choice D reason: Inability to read relates to literacy or focal brain injury, not delirium. Delirium impairs global cognition—attention and memory—not specific skills like reading unless confusion interferes indirectly. Scientifically, this isn’t a core feature, as delirium’s impact is broader and transient.

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Correct Answer is B

Explanation

Choice A reason: Reversibility is a preschool (3-5) belief, not school-age (6-12), where permanence is grasped. Scientifically, this mismatches developmental grief stages, as school-age children understand death’s finality, making this less expected in an older sibling’s response.

Choice B reason: Alienating from peers is common in school-age grief, as sadness or guilt isolates them socially. Scientifically, this aligns with developmental psychology, where peer withdrawal reflects processing loss inwardly, a typical reaction to a sibling’s terminal illness.

Choice C reason: Bad behavior causing death is magical thinking, typical of preschoolers, not school-age kids who reason logically. Scientifically, this regresses below their cognitive stage, making it less likely than social withdrawal in grief responses.

Choice D reason: Regression (e.g., bedwetting) occurs more in younger children under stress, less in school-age. Scientifically, older kids cope via isolation or questions, not developmental backsliding, making this less characteristic than peer alienation in this age group.

A. "Remain in bed until you fall asleep." B. "Keep the television volume low while you are trying to fall asleep." C. "Sleep longer hours on the weekend." D. "Establish a daily exercise routine."

Correct Answer is D

Explanation

Choice A reason: Staying in bed awake reinforces insomnia by associating bed with wakefulness. Sleep hygiene advises leaving bed if sleep doesn’t come soon.

Choice B reason: Low TV volume still stimulates the brain, delaying sleep onset. Screen light disrupts melatonin, worsening insomnia rather than aiding rest.

Choice C reason: Longer weekend sleep disrupts circadian rhythm, confusing sleep cycles. Consistent sleep timing is key, so this hinders nightly sleep improvement.

Choice D reason: Daily exercise boosts sleep quality by reducing stress and regulating circadian rhythm. It’s a proven insomnia remedy, promoting faster sleep onset naturally.

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A nurse is collecting data from a client who is experiencing delirium. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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