An older adult patient diagnosed with delirium is anxious, agitated, and experiencing visual hallucinations. The nurse entering the room to assess vital signs should
a. announce his or her name and title, and what is happening.
b. silently take the vital signs to minimize stimulation.
c. ask the patient to identify place, person, and time.
d. turn on all lights in the room.
A
A patient who is anxious, confused, and experiencing sensory perceptual alterations needs help coping with the environment. Nurses should identify themselves whenever entering the room, giving both their name and title, and provide simple explanations and directives. The other options are inadvisable.
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