Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)
Agnosia
Impaired level of consciousness
Disorientation to place, and time
Apathy
Wandering attention
Correct Answer : A,B,C,E
A. Delirium can cause difficulty recognizing objects, people, or places, which is a form of agnosia.
B. Patients with delirium often have fluctuating levels of consciousness, ranging from lethargy to hyperalertness.
C. Delirium commonly affects orientation, causing confusion about where they are or what time it is.
D. Apathy is more characteristic of depression or dementia rather than the acute, fluctuating attention seen in delirium.
E. Patients with delirium often display inattention and an inability to focus, leading to distractibility and wandering attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Extreme anxiety with brief dazed periods describes depersonalization or dissociative episodes, but not a fugue, because identity and travel are not involved.
B. Feeling like the body is unreal or shrinking is indicative of depersonalization-derealization disorder, not dissociative fugue.
C. Unfamiliar clothes and blackouts without alcohol may suggest dissociative identity disorder, as multiple identities or personality states are involved.
D. Dissociative fugue involves sudden, unexpected travel away from one’s home or workplace, inability to recall the past, and confusion about personal identity or assumption of a new identity. The scenario describes disappearance, travel, and memory loss consistent with dissociative fugue.
Correct Answer is D
Explanation
A. Paroxetine (Paxil) is an SSRI antidepressant and is not a first-line treatment for ADHD.
B. Imipramine (Trofanil) – This tricyclic antidepressant is rarely used for ADHD and is not considered standard therapy.
C. Carbamazepine (Tegretol) – This is an anticonvulsant used for seizure disorders and mood stabilization, not ADHD.
D. Methylphenidate (Ritalin) is a central nervous system stimulant and is the most commonly prescribed medication for ADHD. It helps increase attention span, decrease impulsivity, and reduce hyperactivity, which is why teaching for parents would focus on this medication.
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