Nurse 3403 exam 2 elsevier Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)
An older adult client has the following symptoms:
disturbances in attention and awareness, changes in cognition, and delusional thoughts and behavior. You have watched these symptoms develop over the last couple of days. Considering what you know about cognitive impairment, you realize your client is experiencing which one of the following conditions?
- lowered stress threshold
- delirium
- normal pressure hydrocephalus
- dementia - Correct Answers ✅B. delirium
Delirium develops over a short period, and symptoms include disturbances in attention and awareness and changes in cognition. Perceptual disturbances are often accompanied by delusional thoughts and behavior. Dementia typically has a gradual onset and a slow, steady pattern of decline without alterations in consciousness. The lowered stress threshold model was one of the first models used to plan and evaluate care for people with NCDs in every setting. Normal pressure hydrocephalus causes a type of dementia that is characterized by ataxic gait, incontinence, and memory impairment.An older adult male client's family has made the difficult decision to place him in a nursing home. You discuss with the family about person-centered care. What do you explain to the family that this care involves? (Select all that apply.) 1 / 4
Nurse 3403 exam 2 elsevier Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)
- offers hope
- enhances the quality of life
- focuses on the disease
- supports limitations
- fosters abilities
- maintains the quality of life - Correct Answers ✅A, B, D,
- washing her hair first 2 / 4
E Person-centered care fosters abilities by acknowledging that the older adult brings with him or her expert knowledge and skill. Person-centered care enhances the quality of life by encouraging older individuals to achieve their full potential and participate in their communities. Person-centered care offers hope for those who need it―hope that will be respected―and gives the support an older adult requires.Person-centered care supports a client's limitations, works within those limitations, and encourages the client. Person- centered care looks beyond the disease and the tasks to be performed. Person-centered care actually enhances not maintains an individual's quality of life.Your client has perceptual disturbances and misinterpretations of reality. When providing care for her, you learn that she does not like bathing. When approached, she screams at you and strikes out. Which of the suggestions below might make her more comfortable? (Select all that apply.)
Nurse 3403 exam 2 elsevier Questions and Verified Answers, 100% Guarantee Pass (Latest 2025)
- keeping the room warm and low-lit
- using bathing terminology
- playing background music
- singing to her
- bathing the least sensitive areas first - Correct Answers
✅B, D, E, F
The use of music and other sound stimulation can contribute to improved health and well-being. Singing familiar songs has been shown to enhance the expression of positive moods and emotions, increase the mutuality of communication, and reduce aggression and resistive care behaviors. Having the room ready, warm, and well-lit, and providing a large towel or blanket preserves dignity and keeps them warm. Begin bathing the least sensitive areas first—legs and feet first, followed by arms, trunk, perineum area, and face last. Avoid using bathroom and bathing terminology to create a more positive atmosphere. Wash the hair last or at a separate time.The overriding goals in caring for older adults with dementia include what of the following? (Select all that apply.)
- maintain function
- limit opportunities for interaction
- create a therapeutic milieu
- structure the environment - Correct Answers ✅A, C, D 3 / 4
Nurse 3403 exam 2 elsevier Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) Persons with dementia may understand more than is realized.Structuring the environment and relationships help maintain stability. Maintaining function helps prevent excess disability.Creating a therapeutic milieu nurtures the personhood of the individual and maintains a quality of life. Providing opportunities for interaction and caring communication, both verbal and nonverbal, are still important.Components to a cognitive assessment include which of the following? (Select all that apply.)
- differentiating delirium, dementia, and depression
- complete blood count
- assessing for atypical presentation of illness
- comprehensive assessment - Correct Answers ✅A, C, D
- / 4
Whenever there is a change in cognitive status, it is essential that a comprehensive cognitive assessment be done to identify reversible conditions that may be the cause of an individual's symptoms. An important aspect of this is differentiating delirium, dementia, and depression. A comprehensive assessment would be performed if an impairment is identified through screening. Older individuals often present with atypical signs or symptoms of illnesses.This can be exaggerated when the client had dementia. A complete blood count would provide an idea of basic cell functions; however, it would not help with diagnosing cognitive dysfunction.