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","C","E"]

Explanation

Choice A reason: Increasing exercise and taking regular walks can significantly improve mental and emotional health, indicating the client has understood the education provided.

Choice B reason: Setting a regular bedtime and ensuring adequate sleep are essential for mental health, reflecting the effectiveness of the education.

Choice C reason: Improving nutritional intake and avoiding junk food are positive steps towards better mental health, showing the client's understanding.

Choice D reason: Regular follow-ups with a healthcare provider are good practice but not directly related to the immediate improvement of mental and emotional health.

Choice E reason: Adherence to medication, especially for chronic conditions like diabetes, is crucial for overall health, which can influence mental and emotional well-being.

A. The narcotic count is incorrect when the nurse ends the shift. B. The nurse has poor hygiene practices and has an offensive body odor. C. The observing nurse finds oral narcotics blister packs torn in the back. D. The clients are reporting a lack of pain control when the nurse is working. E. The nurse administers narcotics and then goes to use the bathroom.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A: The narcotic count is incorrect when the nurse ends the shift

An incorrect narcotic count at the end of a shift is a serious issue that could indicate potential drug diversion. It's crucial for nurses to accurately count and document narcotics to ensure patient safety and maintain legal and ethical standards. Therefore, this behavior should be reported to the nurse manager.

Choice B: The nurse has poor hygiene practices and has an offensive body odor

While poor hygiene and offensive body odor can be disruptive and unpleasant in a workplace setting, they are not direct indicators of substance use disorder. However, it's important to note that changes in personal hygiene can sometimes be a sign of other health or personal issues.

Choice C: The observing nurse finds oral narcotics blister packs torn in the back

Finding torn narcotics blister packs could indicate that a nurse is diverting drugs for personal use. This is a serious violation of nursing practice and should be reported immediately.

Choice D: The clients are reporting a lack of pain control when the nurse is working

If patients consistently report a lack of pain control when a specific nurse is working, it could suggest that the nurse is not administering the prescribed pain medications properly¹?¹?¹?¹?¹?. This could be due to a variety of reasons, including potential drug diversion, and should be reported.

Choice E: The nurse administers narcotics and then goes to use the bathroom

Frequent bathroom breaks immediately after administering narcotics could be a red flag for drug diversion. While there could be other explanations, this behavior in the context of the other signs could indicate a substance use disorder and should be reported.

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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

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.)

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

Explanation

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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 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?

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