An elderly patient was well until 12 hours ago, when she reported to her family that in the middle of the night she awakened to see a man standing at the foot of her bed
There is no evidence that this situation ever happened. This series of events supports which possible diagnosis?
a. Delirium
b. Anxiety
c. Paranoia
d. Dementia
ANS: A
Delirium is a disturbance of consciousness and cognition that develops over a short period. It is secondary to a medical condition. The scenario does not fit the disorders mentioned in the remaining options.
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In the current health care market, what will occur with health care expenditures per capita in the United States?
A. Increase as part of the overall gross domestic product B. Match those of other Western countries C. Have the United States achieve the highest health status in the world D. Decrease as health care becomes available for all citizens
A patient who had a Mantoux test for tuberculosis 2 days ago has a 2 mm area of erythema at the site of the test. How should the nurse evaluate this result?
1. As negative 2. As positive for tuberculosis 3. As indicating a sputum test for acid-fast bacilli is needed 4. As indicating need for a repeat PPD
An incapacitated older adult with dementia is brought to the emergency department by a rescue squad after falling and breaking an arm
When the patient's children arrive, they are adamantly against the patient having any medical care and insist that prayer will heal the broken arm. What action by the nurse is most appropriate? a. Allow the family to pray with the patient then escort them to the waiting room. b. Call security to keep the family from in-terfering with medical care. c. Check facility policies and contact the hospital social worker. d. Call the police who can force the family to accept medical care.
What is the best time of day to collect a sputum specimen for culture?
a. Early in the morning. b. After breakfast. c. After chest physiotherapy. d. After a nebuliser.