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. Regression B. Projection C. Denial D. Displacement

Correct Answer is C

Explanation

A. Regression is reverting to earlier developmental behaviors (e.g., thumb-sucking under stress). The patient is not showing childlike behaviors.

B. Projection involves attributing one’s own unacceptable feelings to others. The patient is not blaming others for symptoms.

C. Denial is refusing to acknowledge a painful reality. Despite clear symptoms and diagnostic testing, the patient minimizes illness by attributing it to "just a stubborn chest cold."

D. Displacement is redirecting emotions onto a safer target (e.g., yelling at spouse instead of boss). Not evident here.

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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 undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?

Correct Answer is C

Explanation

A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

Which measure would be considered a form of primary prevention for suicide?

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Which action by a psychiatric nurse best applies the ethical principle of autonomy?