Which intervention best addresses the principle that is the basis for communicating with a client experiencing post-surgical delirium?
a. Reminding the client that delirium is generally acute and reversible
b. Assuming that the client's statements are an attempt to express needs
c. Allowing the client sufficient time to formulate an answer to questions
d. Using non-verbal communication techniques to communicate with the client
ANS: B
Assuming that communication and behavior are meaningful and an attempt to tell us some-thing or express needs is vital to effective care planning for the delirious client. The acute and reversible nature of the disorder does not have impact on the need for effective commu-nication. The remaining options focus on the client's communication and not the greater issue of effective intercommunication between client and staff.
You might also like to view...
After bathing and repositioning a patient, the nurse notices the following readings on the bedside monitor: PAWP, 20 mm Hg and PAP, 28/12 mm Hg. Assessment notes no changes in patient condition. Which of the following statements would be true?
a. The patient may be having a silent MI. b. The monitoring system is not functioning properly. c. The patient is at increased risk for congestive heart failure. d. The patient has pericardial tamponade.
A patient is diagnosed with heart failure and is started on digoxin. On the second day of therapy, lab values, the ECG results, and the patient's symptoms indicate that the medication is not producing a therapeutic effect
An appropriate nursing action would be to A) seek orders to increase the dosage. B) continue to administer the drug as ordered. C) seek orders to discontinue digoxin and start another drug. D) insist that another drug should be ordered in addition to the digoxin.
During a follow-up office visit of a male client taking an antidepressant, the client tells the nurse that, "since I started taking this medication I haven't been able to get an erection." The nurse's best response is:
a. "You really need to be compliant with your medications." b. "We'll talk to your doctor about changing your medication." c. "Weren't you told that this could be a side effect of your medication?" d. "I'll talk to your doctor before your next appointment, to see if anything can be done."
The nurse manager is leading an in-service educational session about evidence-based nursing practice. Which participant statement indicates the need for additional information? "Evidence-based nursing practice:
A. Incorporates research findings into clinical practice." B. Is unnecessary on a unit with established policies." C. Is supported by current, valid research." D. Is a lifelong learning approach to client care."