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.

Answer and Explanation

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.

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

Explanation

Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.

Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.

Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.

Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.

Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.

A. "I have to avoid stress all my life to avoid getting sick again." B. "Taking medication won't help my pain since it's caused by stress." C. "As soon as my symptoms go away, I'll be my old self again." D. "How I handle stress and emotions can affect my physical health."

Correct Answer is D

Explanation

Choice A reason: This statement suggests a misunderstanding of somatic symptom disorder. Avoiding stress entirely is not realistic or beneficial for overall health.

Choice B reason: This statement is incorrect because while stress can exacerbate pain, medication may still be helpful in managing symptoms of somatic symptom disorder.

Choice C reason: This statement does not recognize the chronic nature of somatic symptom disorder, where symptoms may not completely go away and management is ongoing.

Choice D reason: This statement shows an understanding that psychological factors can influence physical symptoms, which is key in managing somatic symptom disorder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

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

Explanation

The nurse is educating the client about their diagnosis of somatic symptom disorder. Which statement by the client will indicate to the nurse that the education has been effective?

Correct Answer is D

Explanation

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)