An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady galt, and fluctuating levels of orientation. These findings are most characteristics of
Amnesiac Syndrome
Alzheimer's Disease
Delirium
Dementia
The Correct Answer is C
A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.
B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.
C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.
D. Dementia develops slowly and progressively, not suddenly like delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.
B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.
C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.
D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.
Correct Answer is A
Explanation
A. Lorazepam is a benzodiazepine that acts quickly to relieve acute anxiety, making it the medication of choice for sudden episodes of severe anxiety.
B. Amitriptyline is a tricyclic antidepressant used for long-term management of depression and anxiety, not for rapid relief of acute anxiety.
C. Buspirone is an anxiolytic effective for chronic anxiety but has a delayed onset of action and is not effective for sudden episodes.
D. Desipramine is a tricyclic antidepressant primarily used for depression and certain chronic anxiety disorders, not for immediate relief of severe anxiety.
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