The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

A client with a blood glucose level of 110 mg/dL (6.1 mmol/L).

A client who sustained a fractured femur in a motor vehicle crash.

An adult client being prepared for a laparoscopic cholecystectomy.

An older adult client with sepsis from a urinary tract infection.

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Flooding is a diﬀerent technique from desensitization and involves intense and immediate exposure to the feared stimulus, which can be overwhelming and is not the gradual approach used in desensitization.
Choice B reason: This choice is incorrect. Simply teaching a patient to ignore or become immune to anxiety- producing situations does not address the underlying fear and is not a technique used in desensitization therapy.
Choice C reason: This choice is incorrect. While cognitive techniques may be part of a broader therapeutic approach, they are not the same as desensitization, which specifically involves gradual exposure combined with relaxation techniques.
Choice D reason: This is the correct choice. Desensitization therapy, also known as systematic desensitization, is a behavioral therapy technique that involves gradually exposing the patient to the feared object or situation while teaching them relaxation techniques to overcome their anxiety.

A. The medication will help your spouse sleep beter at night and stay awake during the day. B. This will not result in any improvements to the client's symptoms of dementia, but it will make the client much more compliant and easier to manage. C. It is important to closely follow the administration schedule for this drug if it is to help your spouse. D. The medication won't cure your spouse's dementia, but it has the potential to slow down the progression of the disease.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. While some medications may help improve sleep paterns, they are not primarily used to regulate sleep in dementia patients.
Choice B reason: This choice is incorrect. Medications for dementia aim to improve symptoms and quality of life, not just to make patients more compliant.

Choice C reason: This choice is misleading. While following the administration schedule is important, it does not guarantee recovery since dementia is currently incurable.

Choice D reason: This is the correct choice. Medications for dementia, such as cholinesterase inhibitors and memantine, may help slow the progression of symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a phobia asks, "What is desensitization therapy?" The best response is:

Correct Answer is D

Explanation

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

Correct Answer is D

Explanation

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

The nurse caring for an older adult client with dementia asks the client's children to bring old photo albums when they visit. Which best describes the benefit of viewing photos when caring for the client?

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

The nurse is talking with a client who states, "I am so sad today, it is the anniversary of my parent's death." Which response by the nurse may impede the communication process between the nurse and client?

The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?

Which is necessary as a defining feature of mental illness?