The nurse identifies which goal to be most appropriate for the Nursing diagnosis of acute confusion?
A) The patient will use the call light before getting out of bed within 48 hours.
B) The patient will use a calendar to remember the date within 48 hours.
C) The patient will respond appropriately to questions about place within 48 hours.
D) The patient will remain within the unit while in long-term care.

Question

Quizplus · Accepted Answer

The patient has acute confusion and therefore an appropriate early goal as the confusion resolves is to remember where they are. Remembering to use a call light would be appropriate for risk for falls. Using a calendar is appropriate for impaired memory and remaining in the unit is appropriate for chronic confusion.

The Nurse Identifies Which Goal to Be Most Appropriate for the Nursing