The nurse is teaching nursing students about the risk factors for developing delirium in older adults. Which student statement indicates understanding of the risk factors of delirium?

"Age-related cognitive changes may lead to alterations in mental status."

Lack of rigorous exercise may lead to alterations in mental status."

"Decreased social interaction may lead to profound isolation and psychosis."

"Taking multiple medications may lead to adverse interactions or toxicity."

Answer and Explanation

The Correct Answer is D

A. "Age-related cognitive changes may lead to alterations in mental status." Age-related cognitive changes, such as mild cognitive impairment, can increase the risk of delirium, but the statement is too general. Delirium is typically acute and caused by specific factors like medication, infection, or metabolic imbalances, not just normal age-related changes . Therefore, this choice is incorrect.

B. "Lack of rigorous exercise may lead to alterations in mental status." While lack of exercise can impact overall health and well-being, it is not a direct risk factor for delirium. Delirium is more closely associated with acute medical conditions, medication interactions, or environmental factors . Therefore, this choice is incorrect.

C. "Decreased social interaction may lead to profound isolation and psychosis." Decreased social interaction can lead to isolation and mental health issues like depression, but it is not a direct cause of delirium. Delirium typically results from acute physiological changes rather than social factors . Therefore, this choice is incorrect.

D. "Taking multiple medications may lead to adverse interactions or toxicity." Polypharmacy, or taking multiple medications, is a significant risk factor for delirium in older adults due to the potential for adverse drug interactions and toxicity. This can lead to acute changes in mental status characteristic of delirium . This choice is correct.

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Correct Answer is D

Explanation

A. Cultural considerations have no impact on abusive situations involving older adults: This is incorrect. Culture significantly influences how abuse is perceived and addressed.

B. Abusive behaviors are consistent across all cultures: This is incorrect. Abusive behaviors and their recognition can vary widely across different cultural contexts.

C. Cultural diversity does not play a role in elder abuse prevention efforts: This is incorrect. Understanding cultural differences is essential for effective prevention and intervention.

D. Cultural beliefs and practices can influence perceptions of abuse and help-seeking behaviors: Correct. Different cultures have varying definitions of abuse and different attitudes toward seeking help, which can affect how abuse is identified and addressed.

A. Reprimand the client about the potential damage that has occurred due to overexercising her body. B. Praise the client for looking at herself in a mirror. C. Restrict the client from being weighed. D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.

Correct Answer is D

Explanation

A. Reprimand the client about the potential damage that has occurred due to overexercising her body. Reprimanding the client is not therapeutic and can increase feelings of guilt or shame, potentially exacerbating the condition. A more supportive and understanding approach is needed to address the behavior. Therefore, this choice is incorrect.

B. Praise the client for looking at herself in a mirror. Praising the client for looking at herself in the mirror is not specifically relevant to managing the overexerting behavior and does not address the core issues of anorexia nervosa. It may also reinforce body image concerns. Therefore, this choice is incorrect.

C. Restrict the client from being weighed. Weighing restrictions are common in the treatment of anorexia nervosa to reduce anxiety around weight gain. However, this action alone does not directly address the overexercising behavior. Instead, comprehensive behavioral and therapeutic strategies should be employed. Therefore, this choice is incorrect.

D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. Encouraging the client to discuss her urges to exercise with a nurse provides an opportunity for therapeutic intervention and support. It helps in addressing the behavior in a constructive manner and provides a means for the client to seek help when struggling with their impulses. This choice is correct.

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The nurse is teaching nursing students about the risk factors for developing delirium in older adults. Which student statement indicates understanding of the risk factors of delirium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Nurse Manager is discussing in their monthly staff nurses meeting the importance of understanding a client's culture. How do cultural considerations play a crucial role in understanding and addressing abusive situations involving older adults?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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