Reality orientation is helpful for some patients with confusion. The nurse should use this technique on a patient diagnosed with:
1. organic brain syndrome.
2. senile dementia.
3. senility.
4. acute confusional state.
4
Acute confusional state is another name for delirium. The other choices are other names for dementia. Reality orientation may be helpful for patients with delirium but tends to agitate patients with dementia.
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An older adult who was diagnosed with atrial fibrillation asks a nurse, "I feel fine. I have no symptoms at all with this heart problem, yet I am now on a blood thinner medication, which I understand can by very dangerous
Is this really necessary?" The nurse formulates a response based on the understanding that: a. Atrial fibrillation, while initially asympto-matic, will progress and become sympto-matic. b. the risk of stroke is very high for a person with atrial fibrillation. c. untreated atrial fibrillation will likely cause a heart attack. d. atrial fibrillation can cause coronary heart disease.
You are taking a health history on a new patient. While performing your assessment, the patient informs you that her mother has type 1 diabetes. What is the significance of this information to the health history?
A) The patient may be at risk for developing diabetes. B) The patient may need teaching on preventing diabetes. C) The patient may need to attend a support group for diabetes. D) This may affect the patient's diet during hospitalization.
The patient tells the nurse she has never "gotten over" the loss of her husband two years ago. The patient states she is drinking alcohol to excess every day and has started smoking, saying both help her cope. The best response by the nurse woul
A) "You need to decrease your alcohol consumption and stop smoking for your overall health." B) "It may be time for you to consider a comprehensive treatment program." C) "Many people develop these habits in response to severe stress. As you learn to better cope, you will see a decrease in your need for these substances." D) "This is the way you are coping with the stress. Everyone copes in their own way."
The nurse is caring for a newborn following the application of a hip spica cast to treat congenital hip dysplasia. Which nursing diagnoses should the nurse use to guide the care of this infant? (Select all that apply.)
A) Risk for aspiration B) Risk for imbalanced nutrition C) Risk for fluid volume excess D) Risk for delayed growth and development E) Risk for impaired skin integrity