An 88-year-old resident of a nursing home reports to the nurse that there was a problem during the night and that someone entered her room and stood by the window watching her.She expresses fear of going to sleep.What action is most appropriate for the nurse to take initially?

Question

Quizplus · Accepted Answer

She is likely experiencing delusions,which are frightening for her.The first step is assessment of the truth of the delusion.The nurse assesses the environment to see if there is anything that could have been misinterpreted by the resident.Concluding that someone is delusional is never safe unless the claim has been thoroughly investigated.Consulting a psychiatrist is not the first option; if symptoms interfere with function,than a psychiatric evaluation and medication management might be indicated.Medicating for sleep will not help with the delusions.

An 88-Year-Old Resident of a Nursing Home Reports to the Nurse