An elderly patient is admitted with delirium secondary to a urinary tract infection. "The family asks whether the patient will recover?" What would be the nurses' best answer?

"Unfortunately, delirium is a progressively disabling disorder."

"The confusion will probably get better as we treat the infection.

The health care provider is the best person to answer your question."

"I will be glad to contact the chaplain to talk with you."

Answer and Explanation

The Correct Answer is B

A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.

B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.

C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.

D. While supportive, this does not address the family’s question about recovery.

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Correct Answer is C

Explanation

A. Thyroid function tests are not routinely required for valproate therapy; this applies more to lithium therapy.

B. A pretreatment EEG is not necessary before starting valproate; it is used primarily for seizure evaluation.

C. Valproate can cause hepatotoxicity, so monitoring liver function tests (LFTs) before and during therapy is essential for safety.

D. High serum sodium levels are not related to valproate toxicity; this concern is associated with lithium therapy, not valproate.

A. I am worried about how much you are crying. Your grief over your husband's death has gone on too long B. "The unexpected death of your husband must be very painful. I am glad you are able to talk to me about your feelings." C. "Are you hearing voices at night?" D. "This loss is harder to accept because of your mental illness. I will refer you to a partial hospitalization program."

Correct Answer is B

Explanation

A. This response minimizes her grief and implies pathology; crying after a recent traumatic loss is normal.
B. This response acknowledges the client’s pain, validates her feelings, and encourages continued expression, making it therapeutic.
C. This abruptly changes the subject and ignores her grief, which is the client’s primary concern.
D. This pathologizes normal grief and focuses on her diagnosis instead of providing empathy and support.

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An elderly patient is admitted with delirium secondary to a urinary tract infection. "The family asks whether the patient will recover?" What would be the nurses' best answer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client al t about the use of this medication?

Correct Answer is C

Explanation

A bystander was killed during a robbery 2 weeks ago. His widow, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.

Correct Answer is B

Explanation

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