An older adult with delirium is pulling at the intravenous line and trying to leave the bed. Which nursing action should be taken first?
Correct answer: A. Assess airway, breathing, circulation, and immediate safety risks
- A. Assess airway, breathing, circulation, and immediate safety risks
- B. Ask the patient to explain the reason for leaving the bed
- C. Place the patient in a dark room to reduce stimulation
- D. Administer a sedative before completing any assessment
Explanation
Delirium is an acute medical emergency, so the nurse first assesses physiological stability and protects the patient from immediate harm. Communication and treatment follow the safety assessment, while unnecessary sedation can worsen confusion or mask deterioration.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Mental Health of Children and Older Adults
Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.
Practise Mental Health of Children and Older Adults
40 free Mental Health of Children and Older Adults MCQs from Mental Health Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Mental Health Nursing questions like this
Mental Health Nursing is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Mental Health of Children and Older Adults questions
Which finding in an older adult is most suggestive of depression rather than dementia?
An older adult with dementia becomes more confused and agitated in the late afternoon. Which nursing intervention is most appropriate?
A 12-year-old child with anxiety asks the nurse what to do when feeling suddenly frightened. Which response is most therapeutic?
An older adult with dementia has difficulty making decisions about daily care. Which nursing action best supports the patient's rights?
Which question is most appropriate when assessing suicide risk in an older adult who reports hopelessness?
An older adult with mild dementia becomes upset because the nurse cannot understand the patient's words. Which communication technique is best?