What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of her environment?
a. Provide a quiet, well-lit room without glare or shadows.
b. Have the patient sit by the nurse's desk while awake.
c. Reduce room lighting to minimize overstimulation.
d. Keep a radio on continuously to reduce isolation.
A
A quiet, well-lit, shadow-free room offers an environment that minimizes opportunities to misperceive reality or become overwhelmed by stimuli. Having the patient sit at the nurses' station facilitates observation but does not necessarily reduce misperceptions. Reducing room lighting makes objects less easily seen and more likely to be misinterpreted or misperceived. Continuous exposure to a radio could result in stimulus overload, aggravating the patient's cognitive impairment.
You might also like to view...
The type of care delivery model used can affect the nurse's (select all that apply):
a. autonomy. b. career focus. c. job satisfaction. d. psychological needs.
A client is hearing voices telling him to kill himself. The nurse would document this type of perceptual disturbance as which of the following?
A) Illusion B) Delusion C) Thought insertion D) Hallucination
A client tells the nurse that he does not want to be bothered for a few hours. The nurse honors the request and does not assess the client's vital signs when scheduled
When seeing the client before the end of the shift, the nurse finds the client unresponsive. Which of the following does this outcome suggest? 1. The nurse should have planned to provide care with minimal distractions yet maintain client safety and ongoing assessment. 2. The nurse should adhere to a client's request regardless of the outcome. 3. The nurse was providing good client care. 4. There was no way to predict that the client's condition would change and the nurse is not at fault.
A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma. The child has been frustrated at first but now is able to state the reason for using the meter on a daily basis
Remembering the growth and development characteristics of the preadolescent, which of the following is an appropriate response by the nurse? 1. "You should feel very proud for understanding and using your meter.". 2. "Think of using the meter as one of your daily chores.". 3. "Maybe you could make a game out of the daily use of your meter.". 4. "It's too bad if you don't want to use the meter, it's just something you'll have to do.".