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    ATI PN Mental Health Proctored Exam 2023 II

    A nurse is caring for a client who has delirium.Which of the following findings should the nurse expect?

    Explanation & Rationale

    Choice A rationaleDelirium is characterized by an acute and fluctuating onset of disturbances in attention and cognition that develop over a short period, typically hours to days. A gradual onset is more characteristic of conditions like dementia rather than the rapid changes seen in delirium.Choice B rationaleDifficulty swallowing, or dysphagia, is not a primary characteristic of delirium. While neurological conditions can cause both delirium and dysphagia, difficulty swallowing is not a core diagnostic criterion for delirium itself. Other conditions should be considered for this specific finding.Choice C rationaleSlowed, flat speech is more commonly associated with depression or neurological conditions rather than delirium. Delirium typically presents with disorganized thinking and speech that may be rapid, incoherent, or difficult to follow, reflecting the altered level of consciousness and attention.Choice D rationaleImpaired judgment is a key feature of delirium. The disturbance in attention and cognition affects the ability to process information, think clearly, and make sound decisions. This can manifest as poor understanding of situations, impulsive behavior, and an inability to appreciate potential consequences.

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