During morning care, a nurse asks a patient diagnosed with dementia, "How was your night?" The patient replies, "It was lovely. I went out to dinner and a movie with my friend." Which term applies to the patient's response?
a. Sundown syndrome
b. Confabulation
c. Perseveration
d. Delirium
ANS: B
Confabulation refers to making up of stories or answers to questions by a person who does not remember. It is a defensive tactic to protect self-esteem and prevent others from noticing memory loss. The patient's response was not sundown syndrome. Perseveration refers to repeating a word or phrase over and over. Delirium is not present in this scenario.
You might also like to view...
A client has just completed a respiratory aerosol treatment. When should a prescribed arterial blood gas specimen be obtained?
a. immediately b. 30 minutes after completion of administration c. prior to the administration of such a treatment d. 15 minutes after completion of administration
Which of the following ethical theories is illustrated by the example of following the Golden Rule, "Do unto others as you wish them to do unto you"?
a. Deontology b. Principalism c. Utilitarianism d. Virtue ethics
A nurse's role includes performing ___________________ to assess a patient's risk status for malnutrition, assessing and assisting an adult patient with feeding, and identifying patients at risk for aspiration during oral feeding
Fill in the blanks with correct word
The nurse is caring for a patient who has a nephrostomy tube. What action should the nurse take?
a. Limit fluids to 1,000 mL per 24 hours. b. Keep collection bag taped to abdomen. c. Ensure tube is not kinked or clamped. d. Remove and clean the tube once daily.