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 D
Explanation
A. Stereotyped behavior, echopraxia, echolalia, and waxy flexibility are characteristic of the catatonic stage of schizophrenia, not the prodromal stage.
B. Auditory hallucinations, ideas of reference, thought insertion, and broadcasting are positive symptoms that typically emerge during the active stage of schizophrenia.
C. Loose associations, concrete thinking, and neologisms also represent active-phase symptoms and are not typical in the prodromal stage.
D. The prodromal stage is marked by subtle changes in behavior and cognition, including social withdrawal, misinterpretation of events, poor concentration, and preoccupation with unusual thoughts or religion. These signs precede the onset of full-blown psychotic symptoms.
Correct Answer is C
Explanation
A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.
C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.
D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.
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