The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?
The family member said the client started to forget people's names.
The confusion began suddenly after taking a newly prescribed antidepressant.
The client states they have been tired and sleeping a lot more than usual.
The family member states the client does not seem to enjoy previous activities.
The Correct Answer is B
Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.
Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.
Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.
Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Risperidone is an antipsychotic medication commonly used to treat positive symptoms of schizophrenia, such as hallucinations or delusions.
Choice B reason: Haloperidol can be used to treat positive symptoms, but it is not as commonly used as risperidone due to its side effect profile.
Choice C reason: Clonazepam is typically used for anxiety or seizure disorders and is not the primary medication for treating schizophrenia symptoms.
Choice D reason: Clozapine is often reserved for treatment-resistant schizophrenia and is used to treat both positive and negative symptoms, but it is not the first-line treatment due to its potential side effects.
Correct Answer is ["A","D"]
Explanation
Choice A reason: Blunt affect is a negative symptom of schizophrenia, characterized by a significant reduction in the expression of emotions.
Choice B reason: Poor judgments are not specifically categorized as negative symptoms; they can be a result of cognitive deficits associated with schizophrenia.
Choice C reason: Delusions are considered positive symptoms of schizophrenia, involving false beliefs maintained despite evidence to the contrary.
Choice D reason: Anhedonia, the inability to experience pleasure, is a negative symptom of schizophrenia, reflecting a diminished interest or pleasure in all or almost all activities.
Choice E reason: Hallucinations are considered positive symptoms of schizophrenia, involving perceiving things that are not present.
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