Question

A nurse is caring for an older adult client who is experiencing delirium. Which of the following intervention should the nurse include in the clients plan of care

a.Offer the client various choices for meal selection.The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by limiting the choices the client is asked to make.
b.Assign different nursing personnel for each shift.The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by providing consistent nursing personnel.
c.Permit the client to perform daily rituals to decrease anxiety.MY ANSWERThe nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by permitting the client to perform daily rituals.
d.Maintain an environment that has low lighting.The nurse should provide a client who has delirium with a plan of care that decreases agitation and anxiety by providing a well-lit environment.

Answer 1

In managing delirium in an older adult, offering limited choices, maintaining consistency in caregiving staff, allowing the performance of daily rituals, and ensuring a well-lit environment are key strategies in the plan of care. These actions help to minimize confusion, anxiety, and agitation, thereby improving the client's overall well-being.

Step-by-step explanation:

When caring for an older adult client who is experiencing delirium, it is crucial to have a plan of care that minimizes agitation and anxiety. To support this, the nurse should:

Not offer the client various choices for meal selection as limiting choices can help prevent further confusion and agitation.Provide consistent nursing personnel, as having different nursing staff for each shift can increase anxiety due to unfamiliarity.Allow the client to perform daily rituals, which can be a source of comfort and can help decrease anxiety.Maintain a well-lit environment, as low lighting can contribute to confusion and falls.

Overall, the plan of care should aim to create a calm, structured, and recognizable environment for the client with delirium to help orient them and reduce triggers of agitation.