Is it Alzheimer, Dementia or are they just Delirious?

A nurse is caring for a client who has moderate dementia which medication will the nurse likely administer to the client?

• Donepezil

• Risperidone

• Haloperidol

• Bupropion

A 68yo client hospitalized with pneumonia is disoriented and confused days after admission. Which information indicates that the client is experiencing delirium rather than dementia?

• The client was oriented and alert upon admission

• The clients speech is fragmented and incoherent.

• the client is oriented to person but disoriented to place and time

• the client has a history of increased confusion over the last several years

The nurse is admitting a client who is suspected of having delirium. The nurse should assess which potential causes.

Select All That Apply

• Infection

• Traumatic Injury

• Hypoglycemia

• Excessive Sleep

• Moderate Alcohol Use

A client diagnosed with dementia becomes agitated and is yelling at the nurse and other hospital staff. What is the priority nurse intervention?

• Ignore the client until behavior subsides

• encourage the client to get involved in unit activities

• confront the client about the behavior

• ensure the safety of clients and staff

While interacting with a 62yo diagnosed with severe dementia, the nurse observes the adult has slow responses and difficulty finding the right words. What is the nurse's best initial action?

• Suggest words that the client may be trying to remember

• ask the client "are you having problems saying what you mean?"

• Remain silent

• Discontinue the interaction to prevent further frustration for the client.

The RN is assessing an elderly client who is disoriented to time and place which additional findings would support a diagnosis of delirium?

Select All That Apply

• Sudden onset of symptoms

• attention is impaired

• slow and progressive symptoms

• rambling speech

• stable symptoms over time

A client is admitted to an SNF after a prolonged hospitalization. Which of the following behavioral management techniques will the new RN adhere to?

Select all that apply

• Speak in a soft, reassuring and calm tone.

• provided unstructured environment

• take limited walks

• respond with simple, brief explanations

• Avoid arguing with the client

Dementia is reversible

• True

• False

The family of a client diagnosed with delirium asks what they can expect. Which symptom should the nurse include in the response to the family?

Select all that apply

• Sudden loss of long and short term memory

• Manic behavior with flight of ideas

• Myocardial Infarct and or Chest Pain

• Acute onset of irrational behaviors

• Fluctuations in consciousness

Which action will the nurse in an outpatient clinic include in the plan of care for a client recently diagnosed with Alzheimer's dementia?

• Suggest moving into an SNF

• Schedule the client for more frequent appointments

• Tell family members they must supervise the client at all times

• discuss the preventive use of acetylcholinesterase medications