A patient diagnosed with delirium is experiencing perceptual alterations. Which environmental adjustment should the nurse make for this patient?
a. Provide a well-lit room without glare or shadows. Limit noise and stimulation.
b. Maintain soft lighting day and night. Keep a radio on low volume continuously.
c. Light the room brightly day and night. Awaken the patient hourly to assess mental status.
d. Keep the patient by the nurse's desk while awake. Provide rest periods in a room with a television on.
ANS: A
A quiet, shadow-free room offers an environment that produces the fewest sensory perceptual distortions for a patient with cognitive impairment associated with delirium. The other options have the potential to produce increased perceptual alterations.
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