The nurse is planning care for the elderly patient with dementia who experiences increased agitation and confusion during the evening hours. Which interventions does the nurse include to decrease evening agitation and confusion? Select all that apply.

Administer bowel regimen as ordered , Provide frequent small meals throughout the day , Encourage the patient to drink fluids between meals , Assess pain with vital signs checks and treat as needed , Play the patient’s favorite CDs and music in the patient’s room , Ensure all lights are on in patient’s room between 0700 and 2200. Sundowning can be caused by decreased sensory input and discomfort. Administering the patient’s bowel regimen prevents discomfort caused by constipation. Frequent small meals available throughout the day prevents hunger. Encouraging the patient to drink fluids prevents thirst. Regular pain assessments ensure the patient is not experiencing untreated pain. Playing the patient’s favorite music can be comforting. Bright lights in the patient’s room during waking hours can prevent confusion due to sensory deprivation.

The nurse is planning care for the elderly patient with dementia ...

Category: Psychosocial Integrity
Difficulty: 9

Topics: Cognition Communication & Documentation Crisis Management Elimination Intracranial Regulation Mental Health Disorders Neurology Nursing Interventions Psychiatric Medications

Want help? View the answer with rationale.

Additional Psychosocial Integrity Questions

Which describes a psychiatric advance directive?

Question Type: Multiple Choice - Select One
Difficulty: 2

The nurse is caring for an elderly patient prone to delirium. In the middle of the night, the patient wakes up agitated and upset and insists that she is late for an appointment. Which response by the nurse is appropriate?

Question Type: Multiple Choice - Select One
Difficulty: 2

The nurse is caring for a patient who has undergone surgery following a motor vehicle accident. The patient is stable and resting comfortably; he is expected to make a full recovery. Upon entering the room, the nurse notes the patient’s wife is holding his hand and crying. Which statement by the nurse is most appropriate?

Question Type: Multiple Choice - Select One
Difficulty: 4

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Psychosocial Integrity Questions

Nursing Careers

Nursing Degrees

NCLEX