A) Slow Onset
D) Easily Distracted
*Extreme distractibility is a hallmark manifestation of delirium
A) Weight loss 10% of total body weight in 3 months
B) Temp 96.1 F
C) Heart Rate 54 bpm
*Severe hypothermia, temp. lower than 96.8 due to loss of subcutaneous tissue or dehydration
HR < 40 bpm req. hospitalization
B) Hand tremors
-Can interfere with the clients ADL’s causing the client to stop taking the medication
A) Control angry outbursts
B) No longer exhibits a fear of social situations
C) Refrains from manipulating others to earn dining-room privileges
A) A family with three generations in the same household
B) Older children who are responsible for their younger siblings
C) An adolescent who questions parental authority.
*There are no distinctions between the roles of family members
A) Shuffling gait
C) Blurred vision
*Benztropine is used to treat Parkinsonism manifestations-such as shuffling gait
A) Allow the client time to collect her thoughts
B) Prompt the client to give a response
C) Offer the client a suggestion for a goal
*Slowed response time is common in client’s with depression. Allow the client time to comprehend and formulate an answer.
A) Encourage the parents to avoid discussing the death
A) It’s easier to talk about my feelings now.
B) Thank you for always taking such good care of me.
C) Suddenly I have enough energy to do whatever I want.
**Expressing feelings is the goal of treatment and a positive treatment outcome.
A) Orient the client to person, place & time.
B) Assist the client with deep breathing exercises
C) Calm the client by using therapeutic touch
A) The client needs excessive external input to make everyday decisions
B) The client has difficulty starting new relationships unless he feels accepted
A) Emotional lability
C) Suspicious of others
*The rapid transition from one emotion to another-out of proportion to the circumstances.
*This is when they can concentrate still and process information.
A) Admin. phenytoin 30min prior
B) Instruct the client to expect a headache after
C) Monitor the client’s cardiac rhythm during the procedure
*The seizure induced ECT can stress the heart. Monitor the heart.
A) Raise the pitch of the voice when speaking to the client
B) Interview the client in a private setting
C) Ask the client to complete a questionnaire