Which change in mental status is consistently seen in individuals with delirium that differentiates the condition from dementia?
A) Impaired short-term memory
B) Disorientation to self
C) Apraxia
D) Clouding of consciousness
D
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When the nursing care plan for a client with a mental health disorder is developed, what is the most likely reason that interventions are ineffective and goals are not met?
a. The client sees his goals as less important. b. The client's family is not supportive. c. The client's disorder is difficult to treat. d. The client's medications are being adjusted.
Providing postmortem care includes all of the following actions except
A. Raising the head slightly. B. Placing dentures in the mouth. C. Cleansing the body. D. Removing all tubes and drains.
The nurse prepares the female elder, who is Polish, for discharge through an interpreter and notes the elder becomes tense during the instructions about elimination. Which inter-vention should the nurse implement?
a. Move onto the discussion about medication. b. Ask the elder how she feels about this topic. c. Instruct the interpreter to repeat the instructions. d. Have the elder repeat the instructions for clarity.
A patient is receiving hydrocortisone 40 mg PO daily for treatment of severe autoimmune inflammation. Which of the following nursing interventions is most important to implement?
A) Increase dietary sodium. B) Limit dietary protein. C) Assess BUN and creatinine regularly. D) Implement infection control measures.