Question 1
An older patient was admitted for a hip fracture
after a fall in his home. On admission to the
hospital, he was alert and oriented. On
postoperative day 1, the patient is confused,
withdrawn, and restless. What condition does
the nurse suspect?
A. Delirium
B. Dementia
C. Depression
D. Alcohol withdrawal
Copyright © 2016 F.A. Davis Company 1
,• Answer: A
• Rationale: Dementia is a chronic, progressive
disorder; delirium is an acute state of confusion.
Delirium also differs from dementia in that it is
often short-term and reversible within a month
or less. It is often seen among older adults in a
setting with which they are unfamiliar. It occurs
in up to 50% of older adults who are
hospitalized (Sendelbach & Guthrie, 2009).
Copyright © 2016 F.A. Davis Company
, Question 2
An 80-year-old patient has been admitted to the hospital
for extreme weakness and difficulty eating. The nurse
conducts a fall risk assessment. Which variable(s) indicate
that the patient is at risk for falls? (Select all that apply.)
A. Admission diagnosis of difficulty eating
B. Admission diagnosis of extreme weakness
C. Patient reports falling twice within the last month
D. Family members bring patient several meals weekly
E. Patient reports wearing glasses for all daily activities
Copyright © 2016 F.A. Davis Company 3
An older patient was admitted for a hip fracture
after a fall in his home. On admission to the
hospital, he was alert and oriented. On
postoperative day 1, the patient is confused,
withdrawn, and restless. What condition does
the nurse suspect?
A. Delirium
B. Dementia
C. Depression
D. Alcohol withdrawal
Copyright © 2016 F.A. Davis Company 1
,• Answer: A
• Rationale: Dementia is a chronic, progressive
disorder; delirium is an acute state of confusion.
Delirium also differs from dementia in that it is
often short-term and reversible within a month
or less. It is often seen among older adults in a
setting with which they are unfamiliar. It occurs
in up to 50% of older adults who are
hospitalized (Sendelbach & Guthrie, 2009).
Copyright © 2016 F.A. Davis Company
, Question 2
An 80-year-old patient has been admitted to the hospital
for extreme weakness and difficulty eating. The nurse
conducts a fall risk assessment. Which variable(s) indicate
that the patient is at risk for falls? (Select all that apply.)
A. Admission diagnosis of difficulty eating
B. Admission diagnosis of extreme weakness
C. Patient reports falling twice within the last month
D. Family members bring patient several meals weekly
E. Patient reports wearing glasses for all daily activities
Copyright © 2016 F.A. Davis Company 3
