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 C
Explanation
A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.
B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.
C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.
D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.
Correct Answer is B
Explanation
A. Referring the patient to a minister avoids the nurse’s responsibility to provide immediate therapeutic support.
B. This response reflects the patient’s feelings and encourages further expression, which is therapeutic in depression.
C. Asking “why” can feel judgmental and place the patient on the defensive, which is non-therapeutic.
D. Giving false reassurance or imposing religious beliefs does not address the patient’s feelings and may shut down communication.
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