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An Older Adult Patient Diagnosed with Delirium Is Anxious, Agitated

Question 16

Multiple Choice

An older adult patient diagnosed with delirium is anxious, agitated, and experiencing visual hallucinations.The nurse entering the room to assess vital signs should implement which intervention to best address this behavior?


A) Calmly announce yourself by name and title, and explain what is going to happening.
B) Limit talking with the client while taking the vital signs to minimize stimulation.
C) Ask the patient to identify place, person, and time to trigger memory.
D) Turn on all lights in the room to minimize misinterpretation of events.

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