Which client exhibits signs and symptoms of delirium and not dementia or depression?

The onset is sudden and acute

The client's ability to perform ADLs is intact.

The cognitive changes are hidden by the client

The client demonstrates apathetic demeanor or flat affect

Answer and Explanation

The Correct Answer is A

A.   Delirium is characterized by a sudden onset of confusion and changes in mental status, often occurring over a short period (hours to days). This contrasts with dementia, which has a gradual onset and progressive decline in cognitive function over months or years.
B.   In delirium, the ability to perform activities of daily living (ADLs) is often affected because cognitive and attentional impairments can interfere with daily functioning. In contrast, early stages of dementia may still allow for relatively intact ADLs, and in depression, ADLs might be affected due to lack of motivation or energy rather than cognitive impairment.
C.   Delirium typically involves visible, pronounced cognitive changes and fluctuating levels of awareness and attention. Clients with delirium usually exhibit overt confusion and disorientation. In contrast, in dementia, cognitive changes are progressive and become more apparent over time.
D.   An apathetic demeanor or flat affect is more commonly associated with depression, where mood disturbances such as sadness, lack of motivation, and diminished emotional expression are prevalent. Dementia might also involve changes in affect, but apathy and flat affect are not distinguishing features of delirium.

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Correct Answer is D

Explanation

A. Suicide rates are high among middle-aged individuals, particularly those between 45 and 64 years old but the highest rates are actually found among older adults and particularly among men. Among all age groups, older adults and young adults (especially males) have notably high suicide rates.
B. Suicide is a significant public health issue in the United States. It affects individuals across various demographics and has serious social, emotional, and economic impacts. The idea that it is "not a problem" is inaccurate and dismissive of the reality of the issue.
C. While antidepressants can be a crucial part of treatment for depression, which is a major risk factor for suicide, they do not fully control or prevent suicide on their own. Suicide prevention requires a comprehensive approach that includes mental health support, therapy, crisis intervention, and social support, among other strategies.
D. In the United States, suicide is indeed one of the leading causes of death. As of recent data, it ranks as the tenth leading cause of death overall. This highlights its significant impact and the need for effective prevention strategies and mental health support.

A. escalation B. recovery C. crisis D. Trigger

Correct Answer is C

Explanation

A. During escalation, individuals are experiencing increasing tension and anger but may still be able to respond to reason or directions. This is the stage where intervention is crucial to prevent the situation from worsening.
B. This phase follows the crisis and is characterized by a decrease in tension. Individuals may be more receptive to communication and reasoning at this point.
C. This is the stage where individuals have lost control, and their behavior is driven by intense emotions. They are unable to process information or respond rationally.
D. The trigger is the initial event that sets off the cycle. While it can lead to escalating emotions, it doesn't necessarily prevent individuals from listening or engaging mentally.

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Which client exhibits signs and symptoms of delirium and not dementia or depression?

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Naxlex Comprehensive Predictor Exams

Suicide in the United States is:

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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The goal of treatment during the first phase of depression is to:

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