An older adult who has Alzheimer's disease exhibits new behavior including shouting in the hallways and hallucinations

Rank the nursing interventions in order, beginning with the first intervention the nurse should implement in response to the new behavior. a. Review the medication list for potential causes.
b. Plan nursing care to promote a trusting relationship.
c. Look for likely causes for psychotic manifestations.
d. Consult with health care provider about medications.


c, a, b, d

a. As a potential cause of the new behaviors, the nurse reviews the medication list and looks for new medications, missed or increased doses, polypharmacy, and medications likely to cause psychotic behavior.
b. Third, after identifying possible pharmacological reasons, the nurse consults with the health care provider to consider adjustments to the pharmacotherapy.
c. The nurse's first task is to identify likely causes of psychotic behaviors to provide a framework for planning suitable nursing interventions.
d. Finally, to supplement removal of offending medications, the nurse promotes a trusting relationship with the older adult by expressing respect and concern.

Nursing

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