The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?

Cognitive dysfunction

Alzheimer's disease

Sundowning syndrome

Night-time confusion

Answer and Explanation

The Correct Answer is C

A. Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment.

B. Alzheimer's disease: This is a specific type of dementia, but it doesn’t specifically describe the timing of confusion.

C. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It’s commonly seen in individuals with dementia.

D. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.

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Correct Answer is B

Explanation

A. Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months.

B. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills.

C. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months.

D. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.

A. "I will begin 48 hr before the client's discharge." B. "I will begin once the client's insurance company approves discharge coverage." C. "I will begin once the client's discharge order is written." D. "I will begin upon the client's admission to the facility."

Correct Answer is D

Explanation

A. "I will begin 48 hr before the client's discharge." Waiting until 48 hours before discharge does not provide enough time for thorough planning, education, or addressing potential needs after discharge.

B. "I will begin once the client's insurance company approves discharge coverage." Discharge planning should not depend solely on insurance approval. It needs to be proactive and begin earlier to ensure comprehensive planning and education.

C. "I will begin once the client's discharge order is written." Starting discharge planning only after the discharge order is written does not allow adequate time for preparation and may result in rushed or incomplete planning.

D. "I will begin upon the client's admission to the facility."Discharge planning should start at admission. Early planning ensures that all aspects of post-discharge care are considered and allows ample time for education, coordination, and addressing potential barriers to successful discharge.

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The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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