A nurse is caring for a patient who is confused, disoriented, and experiencing visual hallucinations. While preparing to provide personal care, the nurse should:

a. ask the patient, "Do you remember who I am?"
b. speak minimally so as not to disturb the patient.
c. pat the patient on the forearm and say, "Let's get started.".
d. explain to the patient what will happen during the care.


D
In these situations nurses should identify themselves each time they enter the room and give the patient simple explanations and directives. A patient with cognitive impairment cannot be expected to remember the nurse from visit to visit and will respond better to easily comprehended information. The nurse also should be prepared to repeat directions as often as necessary.

Nursing

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