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Restraints do not promote rest. Instead, they disrupt sleep-wake cycles and increase agitation. Clients with delirium often experience worsened confusion at night, known as sundowning, which restraints exacerbate.

Pain medication needs are not reduced by restraints. In fact, restraints may cause discomfort, skin breakdown, or musculoskeletal pain, potentially increasing the need for analgesics rather than decreasing it.

Blood pressure changes are not a direct or consistent effect of restraints. While agitation may elevate blood pressure, restraints do not physiologically lower it. The primary effect is behavioral agitation, not hemodynamic stabilization.

Discussing behavior change with the client is ineffective because delirium impairs insight and judgment. The client cannot process abstract explanations, and this may increase frustration rather than reduce agitation.

Introducing sensory stimulation can worsen confusion and agitation. Clients with delirium benefit from calm, low-stimulation environments rather than additional stimuli that overwhelm impaired cognition.

Limiting unnecessary interactions may reduce overstimulation but does not provide the supervision and reassurance needed. Isolation can increase fear and worsen agitation, making this option less effective.

Obtaining a PRN order for haloperidol may be appropriate for severe agitation, but medication is not the first-line intervention. Safety and monitoring must be established before pharmacologic measures are considered.

Calling family to stay with the client may provide reassurance but does not guarantee continuous clinical supervision. Family members are not trained to manage delirium-related behaviors and cannot replace nursing staff observation.

Arranging for an unlicensed sitter provides supervision but is less reliable than placing the client near the nursing station, where trained staff can intervene immediately. Sitters may assist but do not replace the need for direct nursing oversight.

Telling the client to calm down and listen dismisses their feelings and can escalate agitation; clients with delirium have impaired attention and cannot simply refocus on instruction without support.

Offering to call the supervisor may unintentionally reinforce the delusion and shift focus away from current safety and reassurance; therapeutic presence takes priority over deferring to authority.

Asking why they feel calling a supervisor will solve things invites abstract reasoning, which is difficult for someone in a delirious state and may increase confusion rather than provide comfort.

A firm, false belief that is resistant to logical reasoning is categorized as a thought content disorder. While the client may believe the animal is real, the specific act of misperceiving a visual pattern is a sensory-perceptual error rather than a primary disturbance in the belief system.

A sensory experience that occurs in the absence of stimuli is defined as a hallucination. In this scenario, the presence of the wallpaper design provides a physical basis for the perception, which means the experience is an error of interpretation rather than an internally generated sensation.

This cognitive distortion occurs when an individual believes that neutral events or coincidences have a direct, personal significance. It involves a misinterpretation of the meaning of events rather than a literal visual misperception of a physical object or pattern in the room.