DELIRIUM DEMENTIA - NURSING
, CHAPTER 13 DELIRIUM AND DEMENTIA
LINTON MEDICAL-SURGICAL NURSING 7TH EDITION EXAM
WITH VERIFIED QUESTIONS AND CORRECT ANSWERS
1. The family of a patient with Alzheimer disease asks the nurse, “When will my
mother quit being so confused?” On what information regarding dementia should
the nurse base a response?
a.
It is a short-term confusional state that is typically reversible.
b.
It is a state of confusion caused primarily by medications.
c.
It is a state of confusion that usually begins abruptly and lasts a short period.
d.
It is a syndrome that is chronic and irreversible.
ANS: D
Alzheimer disease is a type of dementia that is chronic and irreversible.
Delirium is a short-term confusional state that has a sudden onset and is
typically reversible.
DIF: Cognitive Level: Knowledge REF: p. 205 OBJ:
2 TOP: Dementia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort
2. A nurse is admitting a patient who has been diagnosed as having confusion. What
is the most important observation that the nurse should make regarding this patient?
a.
Eating, drinking, and sleeping patterns
b.
Behavior, orientation, memory, and sleeping habits
c.
Urinary and bowel elimination habits
d. .
Talking, walking, and sleeping patterns
ANS: B
The first step in assessing a confusional state is to observe the patient’s behavior,
orientation, memory, and sleeping habits.
DIF: Cognitive Level: Comprehension REF: p. 206 OBJ: 6
TOP: Confusion Assessment KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
3. While a nurse is dressing a patient who has dementia as a result of Huntington
disease, the patient states, “I don’t want to wear clothes today” and begins to
resist help putting on her clothes. What is the nurse’s most appropriate action?
a.
Tell the patient that she must wear clothes or she cannot see her family later.
b.
Get another nurse to help her force the patient to get dressed.
c.
Talk to the patient about her family coming this afternoon and continue
to assist the patient gently with dressing.
d.
Let the patient go without clothes but make her stay in her room.
ANS: C
When patients with dementia resist activities such as bathing or dressing, avoiding
confrontations and diverting their attention elsewhere are best.
DIF: Cognitive Level: Application REF: p. 211 OBJ: 6
TOP: Resisting Care KEY: Nursing Process Step: Planning
, CHAPTER 13 DELIRIUM AND DEMENTIA
LINTON MEDICAL-SURGICAL NURSING 7TH EDITION EXAM
WITH VERIFIED QUESTIONS AND CORRECT ANSWERS
1. The family of a patient with Alzheimer disease asks the nurse, “When will my
mother quit being so confused?” On what information regarding dementia should
the nurse base a response?
a.
It is a short-term confusional state that is typically reversible.
b.
It is a state of confusion caused primarily by medications.
c.
It is a state of confusion that usually begins abruptly and lasts a short period.
d.
It is a syndrome that is chronic and irreversible.
ANS: D
Alzheimer disease is a type of dementia that is chronic and irreversible.
Delirium is a short-term confusional state that has a sudden onset and is
typically reversible.
DIF: Cognitive Level: Knowledge REF: p. 205 OBJ:
2 TOP: Dementia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort
2. A nurse is admitting a patient who has been diagnosed as having confusion. What
is the most important observation that the nurse should make regarding this patient?
a.
Eating, drinking, and sleeping patterns
b.
Behavior, orientation, memory, and sleeping habits
c.
Urinary and bowel elimination habits
d. .
Talking, walking, and sleeping patterns
ANS: B
The first step in assessing a confusional state is to observe the patient’s behavior,
orientation, memory, and sleeping habits.
DIF: Cognitive Level: Comprehension REF: p. 206 OBJ: 6
TOP: Confusion Assessment KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
3. While a nurse is dressing a patient who has dementia as a result of Huntington
disease, the patient states, “I don’t want to wear clothes today” and begins to
resist help putting on her clothes. What is the nurse’s most appropriate action?
a.
Tell the patient that she must wear clothes or she cannot see her family later.
b.
Get another nurse to help her force the patient to get dressed.
c.
Talk to the patient about her family coming this afternoon and continue
to assist the patient gently with dressing.
d.
Let the patient go without clothes but make her stay in her room.
ANS: C
When patients with dementia resist activities such as bathing or dressing, avoiding
confrontations and diverting their attention elsewhere are best.
DIF: Cognitive Level: Application REF: p. 211 OBJ: 6
TOP: Resisting Care KEY: Nursing Process Step: Planning
