A geriatric nurse is teaching the client's family about the possible cause of delirium. Which statement by the nurse is most accurate?
1. "Taking multiple medications may lead to adverse interactions or toxicity."
2. "Age-related cognitive changes may lead to alterations in mental status."
3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
4. "Decreased social interaction may lead to profound isolation and psychosis."
1
Rationale: The nurse should identify that taking multiple medications that may lead to adverse reactions or toxicity is a risk factor for the development of delirium in older adults. Symptoms of delirium include difficulty sustaining and shifting attention. The client with delirium is disoriented to time and place and may also have impaired memory.
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