Question

41. Which one of the following factors can cause confusion in elderly clients?

a) Fatigue, dehydration

b) Drugs, nutritional deficiencies

c) Sensory impairment, sleep disturbances

d) All of the above

42. Your elderly client is confused about where she is, what day it is, even the daily routine. You should:

a) Shout loudly at her to be sure she hears you

b) Explain simply and quietly each activity before it happens

c) Screen her to protect her from the view of the other residents

d) Turn the radio on high so that she can hear the news

Questions 43-45 pertain to the following scenario.

You find an elderly resident crouched in the corner of the dining room.

He appears very upset and is hostile when you approach him.

He says, “Watch it! They are all over me! They’re trying to kill me!” You do not know this resident

well and have not read the care plan.

43. This behavior is indicative of:

a) Schizophrenia

b) Alzheimer’s Disease

c) Multi-infarct dementia

d) All of the above

44. Fear and anxiety is worsened in this case as your resident appears to be experiencing:

a) Depression

b) Regression

c) A hallucination

d)Long-term memory loss

45. The best approach for this resident is to:

a) Take him to his room and isolate him

b) Calm him by touching him

c) Reason with him and persuade him to return to his room

d) Guide him to a quiet place away from other residents

Answer 1

Answer 41:(d ) All of the above

Rationale: The state of confusion in the elderly patients could be due to various reasons. Dehydration, sleep disturbance, dysfunction of brain etc could result in confusion and distirb the thinking ability.

Answer 42: (b)Explain simply and quietly each activity before it happens

Rationale: This condition could be due to presence of impairment in cognitive function or disease such as dementia or Alzheimer's disease. Hence it is important to provide ethical consideration to the patient and explain things quietly.