A patient complains of occasional periods of confusion and forgetfulness but reports a clear thought process most of the day. The symptoms have been gradually worsening. What is the best initial response by the nurse?
1. "Have you started any new medications?"
2. "You probably have nothing to worry about. It's most likely stress-related.".
3. "Everybody has a few problems with memory as they get older.".
4. "You should probably have an MRI of your brain.".
1
Rationale 1: Adverse effects of medication can be a cause of confusion and forgetfulness.
Rationale 2: A nurse should never discount the patient's concerns about memory loss and confusion.
Rationale 3: This patient is concerned about the level of confusion and forgetfulness, so it is not likely to be "just a few problems.".
Rationale 4: The nurse needs to explore further before an expensive diagnostic study is considered. It would be beyond the nurse's scope of practice to recommend this testing.
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