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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

A. Delirium can cause difficulty recognizing objects, people, or places, which is a form of agnosia.

B. Patients with delirium often have fluctuating levels of consciousness, ranging from lethargy to hyperalertness.

C. Delirium commonly affects orientation, causing confusion about where they are or what time it is.

D. Apathy is more characteristic of depression or dementia rather than the acute, fluctuating attention seen in delirium.

E. Patients with delirium often display inattention and an inability to focus, leading to distractibility and wandering attention.

A. "You know we will not let you hit anyone. Why do you continue this behavior? B. "Do not hit anyone. If you are unable to control yourself, we will help you." C. "Stop that! No one did anything to provoke an attack by you." D. "If you do that one more time, you will be secluded immediately."

Correct Answer is B

Explanation

A. This statement is confrontational and asks why, which can escalate agitation rather than calm the patient.

B. This response is clear, firm, and sets limits on unsafe behavior while offering support. It reassures the patient that the nurse will maintain safety, but in a therapeutic, non-punitive way.

C. This is judgmental and blaming, which is not therapeutic and may increase hostility.

D. Threatening seclusion immediately without first trying therapeutic limit-setting escalates fear and aggression. Seclusion is a last resort after other interventions fail.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?

Correct Answer is B

Explanation

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