Which assessment parameter should the nurse avoid using to differentiate between deli-rium and depression in an older adult?
a. Orientation
b. Consciousness
c. Course over 24 hours
d. Psychomotor activity
D
Feedback
A Incorrect. Qualities about the patient's orientation are a good method for the nurse to use for distinguishing between delirium and depression because in deli-rium, orientation is usually impaired and in depression it is normal.
B Incorrect. Consciousness is a good method for distinguishing between delirium and depression because in delirium it is reduced and in depression it is clear.
C Incorrect. Delirium tends to be worse at night, and depression tends to be worse in the morning.
D Correct. The nurse avoids using qualities about the patient's psychomotor activ-ities to distinguish between delirium and depression in an older adult because psychomotor activities in both disorders are highly variable and make distinc-tions difficult.
You might also like to view...
During a patient's care conference, the team is discussing whether the patient is a candidate for cardiac conduction surgery. What would be the most important criterion for a patient to have this surgery?
A) Angina pectoris not responsive to other treatments B) Decreased activity tolerance related to decreased cardiac output C) Atrial and ventricular tachycardias not responsive to other treatments D) Ventricular fibrillation not responsive to other treatments
The LPNs/LVNs will use the Nurse Practice Act as a guide in their practice. The Nurse Practice Act (select all that apply):
A. Is a federal document that all states must follow. B. Is established by each state to define the scope of nursing practice in that state. C. Protects nurses from lawsuits for violating rules about patients' confidentiality. D. Established fair compensation and benefits for nurses. E. Dictates the acceptable scope of practice for the different levels of nursing.
The Boy Scouts is an organization that continues to be a favorite with school-aged boys because
A) fathers participate in Boy Scouts. B) no girls are included in the organization. C) merit badges require completing small tasks for rewards. D) hiking is a favorite school-aged activity.
In the area of human capital differences, what is not true for women?
a. They have fewer responsibilities in the same jobs as men. b. They confront greater barriers to establish mentor relationships. c. They occupy more than half of all management and professional positions. d. They tend to self-select themselves out of leadership tracks.